Postpartum hemorrhage: New Sharpei uterine compression technique in refractory uterine atony. Report on surgical technique in two cases

Collantes Cubas J.A.; Pérez Ventura S.A. · Revista Peruana de Ginecologia y Obstetricia (2026) · DOI: 10.31403/rpgo.v71i2808

Resumen

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. Copyright

Instituciones: Universidad Nacional de Cajamarca