Alternate Sequential Suture Tightening: A Novel Technique for Uncontrolled Postpartum Hemorrhage

Figure 1

(a) Clinical photograph showing the first level of double tie knot being held with two artery forceps. (b) Clinical photograph showing artery forceps holding the tightened knot on Lt side and the Rt side which is being further tightened (with reduction in the size of uterus). (c) Clinical photograph showing both knots after final tightening of both sutures with marked reduction in the size of uterus. (d) Clinical photograph showing the uterus at 1.5 yrs follow-up during second cesarean section.

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