Postpartum hemorrhage: New Shar-pei uterine compression technique inrefractory uterine atony. Report on surgicaltechnique in two cases

Postpartum hemorrhage remains one of the leading causes of maternal mortality,particularly when uterine atony is unresponsive to medical treatment or conventional compression sutures. We report two cases of refractory uterine atony during cesarean section in which, after unsuccessful B-Lynch suture,...

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Detalles Bibliográficos
Autores: Collantes Cubas, Jorge Arturo, Pérez Ventura, Segundo Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:Perú
Institución:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Idioma:español
inglés
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2789
Acceso en línea:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2789
Access Level:acceso abierto
Palabra clave:postpartum hemorrhage
uterine atony
Shar-pei technique
compression suture
B-Lynch
hemorragia posparto
atonía uterina
técnica Shar-pei
sutura compresiva
Descripción
Sumario:Postpartum hemorrhage remains one of the leading causes of maternal mortality,particularly when uterine atony is unresponsive to medical treatment or conventional compression sutures. We report two cases of refractory uterine atony during cesarean section in which, after unsuccessful B-Lynch suture, a new compression technique named Shar-pei was applied. In both cases, bleeding was effectively controlled and hysterectomy was avoided. Postoperative recovery was favorable without major complications. The Shar-pei technique is proposed as a simple, reproducible second-line surgical option, particularly valuable in low-resource settings where uterine preservation is essential.