Results: -
In all 11 cases good haemostasis was achieved followed by closure of
uterine and abdominal incisions in layers.
All patients were in the age group of 25-35 years
It was 1st caesarean section in 04 cases and
Repeat caesarean section in 07 cases
Number of haemostatic sutures required-
01 Case – 03 Sutures
03 Cases – 02 Sutures
07 Cases – 01 Suture
Total: 11 Cases – 16 Sutures
- Preoperative haemoglobin was above 09gm/dl and only 01 unit of whole
blood was transfused post operatively.
- Only 1case had Hb of 08 gm / dl and 2 units of whole blood were
transfused.
- None of the above cases required any other surgical intervention.
- Post operative period was uneventful in all cases and patients were
discharged on 07th day as with other cases.
- Sites where sutures were placed -
01 suture on fundus towards left cornu leaving the cornual end of
fallopian tube.
(b) 04 sutures on anterior surface of lower quadrants of uterine cavity
and 04 sutures on the wall of uterus for bleeding from the posterior
surface of uterine cavity in lower quadrants.
(c) 06 sutures in upper two quadrants of uterine cavity.
(d) 01suture was placed on the anterior and inner surface of the lower
segment of uterus about 2.5cm below and lateral to the left angle of
LSCS incision.
This particular case was reopened 01 hour after caesearean due to
persistant significant trickle of blood in spite of a contracted uterus
and 20 IU of syntocinon running in drip for more than 01 hour. Traumatic
bleeding was excluded and Saravi’s suture was placed as in other cases
through the myometrium after localizing the bleeding point with fingers.
9. In all cases a written informed consent was taken from the attendents
of patients.