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| Clinical efficacy of different sutures for treating women with postpartum hemorrhage and their influence on the surgical indicators and hemoglobin level |
| 1. Haikou Fourth People's Hospital, Haikou, Hainan Province, 571199；2. The First Affiliated Hospital of Hainan Medical University, Haikou |
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Abstract To investigate the influence of modified Hayman suture and B-Lynch suture for treating women with postpartum hemorrhage on their clinical efficacy, surgical indicators, and hemoglobin level, and to analyze the incidence of postoperative complications of the women after the two sutures. Methods: A total of 118 women with postpartum hemorrhage were included and were randomly divided into study group and control group (59 cases in each group) from April 2020 to April 2022. The clinical efficacy, the indexes during and after operation, and the ovarian recovery situation of the women in the two groups were analyzed. The bleeding conditions during operation, and 24h and 48h after operation, the hemoglobin level, the complications situation after operation and in the two months of followup of the women in the two groups were also analyzed. Results: The clinical effect (94.9%) of the women in the study group was significantly higher than that (76.3%) of the women in the control group. The operation time (50.6±6.3 min), the hemostatic time (14.7±2.1 min), and the blood transfusion volume (54.4±37.9ml) of the women in the study group were significantly less than those (67.3±5.8 min, 20.3±2.4 min, and 116.7±36.1 ml) of the women in the control group (all P<0.05). There were no significant differences in the postoperative ovarian indexes values of the women between the two groups (P>0.05). The blood loss during operation (545.0±210.3 ml), 24h after operation (295.7±51.2 ml), or 48h after operation (95.3±41.8 ml) of the women in the study group was significantly lower than that (843.8±237.6 ml, 583.7±68.5 ml, or 252.0±40.7 ml) of the women in the control group. The hemoglobin level (3.89±1.32 g/L) of the women in the study group was significantly higher than that (2.37±0.98 g/L) of the women in the control group. The total incidence of complications after surgery (8.5%) and in the 2 months of follow-up (5.1%) of the women in the study group were significantly lower than those (27.1% and 20.3%) of the women in the control group (all P<0.05).Conclusion: Compared with that of B-Lynch suture, the modified Hayman suture for treating postpartum hemorrhage has better clinical efficacy, with less intraoperative and postoperative blood loss, which is conducive to speeding up the recovery of the women and has lower incidence of complications. So the modified Hayman suture is worthy of clinical practice.
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