Cross Compression Suture: A Modification of the Hayman Suture for Uniform Uterine Compression in Postpartum Hemorrhage

  • Unique Paper ID: 191485
  • Volume: 12
  • Issue: 8
  • PageNo: 6828-6830
  • Abstract:
  • Background:Uterine compression sutures are an established fertility-preserving surgical intervention for atonic postpartum hemorrhage (PPH). The Hayman suture, while simple and effective, is associated with mechanical limitations including uterine compartmentalization and non-uniform compression, which may contribute to delayed uterine recovery, ischemic injury, and intracavitary collections. Objective:To describe and theoretically evaluate a modification of the Hayman suture—the Cross Compression Suture (CCS)—designed to provide uniform, centripetal uterine compression while minimizing compartmentalization and focal ischemia. Design:Concept paper Conclusion:The Cross Compression Suture is a simple, reproducible modification based on biomechanical principles of force redistribution. It has the potential to improve physiological uterine compression with reduced morbidity. Clinical validation is warranted.

Copyright & License

Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

BibTeX

@article{191485,
        author = {Dr Satish Patki and Dr Surhud Patki and Dr Aditi Kunte and Dr Shweta Patki and Dr Ujjwala Patki and Dr Shriswaroop Kulkarni},
        title = {Cross Compression Suture: A Modification of the Hayman Suture for Uniform Uterine Compression in Postpartum Hemorrhage},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {8},
        pages = {6828-6830},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=191485},
        abstract = {Background:Uterine compression sutures are an established fertility-preserving surgical intervention for atonic postpartum hemorrhage (PPH). The Hayman suture, while simple and effective, is associated with mechanical limitations including uterine compartmentalization and non-uniform compression, which may contribute to delayed uterine recovery, ischemic injury, and intracavitary collections.
Objective:To describe and theoretically evaluate a modification of the Hayman suture—the Cross Compression Suture (CCS)—designed to provide uniform, centripetal uterine compression while minimizing compartmentalization and focal ischemia.
Design:Concept paper
Conclusion:The Cross Compression Suture is a simple, reproducible modification based on biomechanical principles of force redistribution. It has the potential to improve physiological uterine compression with reduced morbidity. Clinical validation is warranted.},
        keywords = {},
        month = {January},
        }

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