Is uterine-sparing surgical management of persistent postpartum hemorrhage truly a fertility-sparing technique?

Julie Blanc, Blanc J, Blandine Courbière, Blandine Courbiere, Raoul Desbriere, Desbriere R, Florence Bretelle, Léon Boubli, Boubli L, D'Ercole C, Claude d'Ercole, Carcopino X, Xavier Carcopino
Fertility and sterility · 2011 · doi:10.1016/j.fertnstert.2011.01.021 · PMID:21315337
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-05-14 ⓘ

In 23 women who underwent hysteroscopy after triple uterine artery ligation with or without square suturing for postpartum hemorrhage, five had abnormal findings (linked to endometritis) and four of twelve subsequent pregnancies had abnormal obstetric outcomes including placenta percreta, accreta, recurrent hemorrhage, and growth retardation.

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Abstract

Among 23 women who underwent diagnostic hysteroscopy after triple uterine artery ligation with or without hemostatic multiple square suturing for the management of postpartum hemorrhage (PPH), five had abnormal findings. Endometritis was statistically significantly associated with abnormal diagnostic hysteroscopy findings. Twelve patients developed subsequent pregnancies, and four had abnormal obstetric outcomes: one placenta percreta, one placenta accreta, one recurrent postpartum hemorrhage, and one intrauterine growth retardation.

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Condition tags

endometriosisdisambig:endometritis

MeSH descriptors

Cesarean Section Fertility Gynecologic Surgical Procedures Gynecologic Surgical Procedures Infertility, Female Postpartum Hemorrhage Uterine Artery Adult Cesarean Section Endometriosis Endometriosis Endometriosis Female Fetal Growth Retardation Fetal Growth Retardation France Gynatresia Gynatresia Gynatresia Humans

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