{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:09:45Z","timestamp":1791824985602,"version":"4.3.4"},"reference-count":28,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,11,29]],"date-time":"2021-11-29T00:00:00Z","timestamp":1638144000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> To evaluate the efficacy and safety of parallel loop binding compression suture of the lower uterus during cesarean section in pernicious placenta previa complicated with placenta increta.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> This retrospective study was performed in patients with pernicious placenta previa complicated with placenta increta or percreta between November 2014 and December 2020 at the Qilu Hospital of Shandong University. Patients underwent parallel loop binding compression suture surgery were defined as study group, and patients underwent traditional surgery with figure-of-eight sutures as the main hemostatic method were defined as control group. Postpartum hemorrhage was evaluated as the primary outcome. The secondary outcomes included age, gestational weeks, operative time, fetal childbirth time, prevention of hysterectomy, blood transfusion, duration of postoperative catheterization, duration of antibiotic treatment, and postoperative hospitalization (days). Additionally, neonatal outcomes were evaluated.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of 124 patients were enrolled in the study, including 38 patients receiving parallel loop binding compression suture surgery in the study group, and 86 patients in the control group. With parallel loop binding compression suture, the average operation time was significantly reduced (109.0 \u00b1 33.5 vs. 134.4 \u00b1 54.2 min, <jats:italic>p<\/jats:italic> = 0.00), and the volume of blood lost were also decreased (2152.6 \u00b1 1169.4 vs. 2960.5 \u00b1 1963.6 ml, <jats:italic>p<\/jats:italic> = 0.02), which correspondingly reduced RBC transfusion (7.2 \u00b1 3.5 vs. 10.3 \u00b1 8.7 units, <jats:italic>p<\/jats:italic> = 0.03) and FFP transfusion (552.6 \u00b1 350.3 vs. 968.0 \u00b1 799.8 ml, <jats:italic>p<\/jats:italic> = 0.00). The fetal childbirth time was extended (14.1 \u00b1 5.6 vs. 11.0 \u00b1 8.0 min, <jats:italic>p<\/jats:italic> = 0.03), however, there was no increase in NICU admission rates (36.9 vs. 34.9%, <jats:italic>p<\/jats:italic> = 0.83). Except for one premature infant (32 weeks) death in the control group, all infants at our hospital were safely discharged after treatment.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Parallel loop binding compression suture is an effective, swift, practical, and safe method to reduce postpartum bleeding in women with pernicious placenta previa, complicated with placenta increta. Besides, it has no adverse effects on newborns.<\/jats:p>","DOI":"10.3389\/fsurg.2021.786497","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T11:45:09Z","timestamp":1638359109000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Parallel Loop Binding Compression Suture, a Modified Procedure for Pernicious Placenta Previa Complicated With Placenta Increta"],"prefix":"10.3389","volume":"8","author":[{"given":"Mengdi","family":"Fu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hualei","family":"Bu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunling","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingbao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengjuan","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yintao","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lijun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2021,11,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e0207061","DOI":"10.1371\/journal.pone.0207061","article-title":"Anterior placenta previa in the mid-trimester of pregnancy as a risk factor for neonatal respiratory distress syndrome","volume":"13","author":"Ahn","year":"2018","journal-title":"PLoS ONE."},{"key":"B2","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1177\/0300060518801455","article-title":"Prophylactic uterine artery embolization in second-trimester pregnancy termination with complete placenta previa","volume":"47","author":"Wang","year":"2019","journal-title":"J Int Med Res"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1341","DOI":"10.3109\/14767058.2011.553695","article-title":"The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, maternal mortality","volume":"24","author":"Solheim","year":"2011","journal-title":"J Matern Fetal Neonatal Med."},{"key":"B4","doi-asserted-by":"publisher","first-page":"669e1","DOI":"10.1016\/j.ajog.2015.01.004","article-title":"Previous prelabor or intrapartum cesarean delivery and risk of placenta previa","volume":"212","author":"Downes","year":"2015","journal-title":"Am J Obstet Gynecol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"CD002867","DOI":"10.1002\/14651858.CD002867","article-title":"Treatments for secondary postpartum haemorrhage","volume":"2002","author":"Alexander","year":"2002","journal-title":"Cochrane Database Syst Rev."},{"key":"B6","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1080\/14767058.2017.1289163","article-title":"Placenta previa and maternal hemorrhagic morbidity","volume":"31","author":"Gibbins","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1007\/s00404-018-4957-4","article-title":"Bleeding control using intrauterine continuous running suture during cesarean section in pregnant women with placenta previa","volume":"299","author":"Ryu","year":"2019","journal-title":"Arch Gynecol Obstet."},{"key":"B8","doi-asserted-by":"publisher","first-page":"4596189","DOI":"10.1155\/2018\/4596189","article-title":"Feasibility of infrarenal abdominal aorta balloon occlusion in pernicious placenta previa coexisting with placenta accrete","volume":"2018","author":"Li","year":"2018","journal-title":"Biomed Res Int."},{"key":"B9","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.ajog.2017.05.067","article-title":"Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging","volume":"218","author":"Jauniaux","year":"2018","journal-title":"Am J Obstet Gynecol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1097\/AOG.0000000000001005","article-title":"Abnormal placentation: placenta previa, vasa previa, placenta accreta","volume":"126","author":"Silver","year":"2015","journal-title":"Obstet Gynecol."},{"key":"B11","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1080\/01443610400022553","article-title":"The uterine compression suture\u2013a valuable approach to control major haemorrhage at lower segment caesarean section","volume":"25","author":"Bhal","year":"2005","journal-title":"J Obstet Gynaecol."},{"key":"B12","doi-asserted-by":"publisher","first-page":"1380","DOI":"10.1111\/1471-0528.13685","article-title":"Funnel compression suture: a conservative procedure to control postpartum bleeding from the lower uterine segment","volume":"123","author":"Li","year":"2016","journal-title":"BJOG."},{"key":"B13","doi-asserted-by":"publisher","first-page":"e8276","DOI":"10.1097\/MD.0000000000008276","article-title":"A prospective observational study evaluating the efficacy of prophylactic internal iliac artery balloon catheterization in the management of placenta previa-accreta: a STROBE compliant article","volume":"96","author":"Fan","year":"2017","journal-title":"Medicine."},{"key":"B14","doi-asserted-by":"publisher","first-page":"755","DOI":"10.1016\/j.ajog.2015.04.034","article-title":"Conservative management of morbidly adherent placenta: expert review","volume":"213","author":"Fox","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.ogc.2012.12.002","article-title":"Placenta accreta, increta, and percreta","volume":"40","author":"Wortman","year":"2013","journal-title":"Obstet Gynecol Clin North Am."},{"key":"B16","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.1056\/NEJMcp1709324","article-title":"Placenta accreta spectrum","volume":"378","author":"Silver","year":"2018","journal-title":"N Engl J Med."},{"key":"B17","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1097\/00006250-200007000-00026","article-title":"Hemostatic suturing technique for uterine bleeding during cesarean delivery","volume":"96","author":"Cho","year":"2000","journal-title":"Obstet Gynecol."},{"key":"B18","doi-asserted-by":"publisher","first-page":"1420","DOI":"10.1111\/j.1471-0528.2005.00666.x","article-title":"Parallel vertical compression sutures: a technique to control bleeding from placenta praevia or accreta during caesarean section","volume":"112","author":"Hwu","year":"2005","journal-title":"BJOG."},{"key":"B19","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1016\/s0029-7844(01)01712-4","article-title":"Pyometria after hemostatic square suture technique","volume":"99","author":"Ochoa","year":"2002","journal-title":"Obstet Gynecol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1007\/s00404-008-0646-z","article-title":"Circular isthmic-cervical sutures can be an alternative method to control peripartum haemorrhage during caesarean section for placenta praevia accreta","volume":"278","author":"Dedes","year":"2008","journal-title":"Arch Gynecol Obstet."},{"key":"B21","doi-asserted-by":"publisher","first-page":"e13253","DOI":"10.1097\/MD.0000000000013253","article-title":"A prospective evaluation and management of different types of placenta praevia using parallel vertical compression suture to preserve uterus","volume":"97","author":"Ratiu","year":"2018","journal-title":"Medicine (Baltimore)."},{"key":"B22","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1007\/s00404-020-05435-3","article-title":"Transverse parallel compression suture: a new suturing method for successful treating pernicious placenta previa during cesarean section","volume":"301","author":"Zhao","year":"2020","journal-title":"Arch Gynecol Obstet."},{"key":"B23","doi-asserted-by":"publisher","first-page":"1112","DOI":"10.1097\/AOG.0000000000003792","article-title":"Internal iliac artery balloon occlusion for placenta previa and suspected placenta accreta: a randomized controlled trial","volume":"135","author":"Chen","year":"2020","journal-title":"Obstet Gynecol."},{"key":"B24","doi-asserted-by":"publisher","first-page":"571","DOI":"10.1515\/jpm-2013-0199","article-title":"Cesarean section and placental disorders in subsequent pregnancies\u2013a meta-analysis","volume":"42","author":"Klar","year":"2014","journal-title":"J Perinat Med."},{"key":"B25","doi-asserted-by":"publisher","first-page":"1432","DOI":"10.1016\/S0002-9378(99)70031-1","article-title":"Placenta previa: a 22-year analysis","volume":"180","author":"Frederiksen","year":"1999","journal-title":"Am J Obstet Gynecol."},{"key":"B26","first-page":"15","volume-title":"Report of a WHO Technical Consultation on Birth Spacing","year":"2005"},{"key":"B27","doi-asserted-by":"publisher","first-page":"2353","DOI":"10.1093\/humrep\/del153","article-title":"Increased risk of placenta previa in pregnancies following IVF\/ICSI; a comparison of ART and non-ART pregnancies in the same mother","volume":"21","author":"Romundstad","year":"2006","journal-title":"Hum Reprod."},{"key":"B28","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1097\/AOG.0b013e3182255999","article-title":"Timing of indicated late-preterm and early-term birth","volume":"118","author":"Spong","year":"2011","journal-title":"Obstet Gynecol."}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2021.786497\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T11:45:13Z","timestamp":1638359113000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2021.786497\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,29]]},"references-count":28,"alternative-id":["10.3389\/fsurg.2021.786497"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2021.786497","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,29]]},"article-number":"786497"}}