Obstetrics & Gynaecology · Antepartum and Postpartum Hemorrhage

Which uterine compression suture was described for management of PPH specifically targeting lower uterine segment bleeding (e.g., placenta praevia/accreta), distinct from the B-Lynch suture?

  • A Hayman suture
  • B Pereira suture
  • C Brace suture
  • D Cho square suture
Correct answer: D. Cho square suture

Explanation

The Cho square suture is specifically designed for lower uterine segment haemorrhage, creating a box-like compression of the lower segment. The B-Lynch (brace) suture compresses the body of the uterus and is used for uterine atony. The Hayman suture is a vertical compression suture. The Pereira suture involves horizontal and longitudinal sutures around the uterus. Knowing these distinctions is high-yield for surgical management MCQs.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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