Dubravko Habek

DOI: https://www.doi.org/10.64332/ujbb.2.2.1

Abstract

Dear Editor,

I recently searched medical databases for the treatment of postpartum hemorrhage (PPH) in order to update the second edition of the textbook on the issue, Obstetric Operations, for which I am Editor-in-Chief. In addition to the existing articles, I also found numerous novel methods for compression hemostatic procedures. Among these, I came across a paper categorized as Commentaries, by Ghezzi et al., published in BJOG: An International Journal of Obstetrics & Gynaecology in 2007, describing the Hayman technique as a simple method in the management of PPH (1). The authors describe eleven cases of massive PPH in which Hayman’s method was successfully applied, with hysterectomy performed in one case. They therefore recommended this technique as a simple method for the treatment of PPH. Furthermore, Figure 1A on page 363 provides a schematic presentation of placing Hayman sutures, while the black-and-white Figure 1B shows the posterior uterine wall with the sutures placed in situ.

One year earlier, in 2006, together with my team, I published the first description of the successfully placed B-Lynchcompression suture in Croatia, with the respective literature review (2). In that article, the original intraoperative color figure (with the patient’s consent) is presented as Figure 1 on page 309, representing the posterior uterine wall with the sutures as part of the B-Lynch procedure and with my fingers holding the uterus on both sides.