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Matsubara S, Lefor AK. Survival and revival of surgical procedures. Taiwan J Obstet Gynecol 2023; 62:786-787. [PMID: 37679017 DOI: 10.1016/j.tjog.2023.07.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2023] [Indexed: 09/09/2023] Open
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan; Department of Obstetrics and Gynecology, Koga Red Cross Hospital, 1150 Shimoyama, Koga, Ibaraki 306-0014, Japan.
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Matsubara S. An intrauterine balloon for puerperal uterine inversion is not only for hemostasis but also for prophylaxis against reinversion: A letter to the editor. Int J Surg Case Rep 2022; 97:107397. [PMID: 35834926 PMCID: PMC9283896 DOI: 10.1016/j.ijscr.2022.107397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 07/06/2022] [Indexed: 02/07/2023] Open
Abstract
Uterine inversion can recur after uterine repositioning. An intrauterine balloon prevents uterine reinversion. An intrauterine balloon should be inserted immediately after successful repositioning.
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Affiliation(s)
- Shigeki Matsubara
- Corresponding author at: Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan.
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Matsubara S, Takahashi H. The cervical clamping for postpartum haemorrhage: some concerns. J OBSTET GYNAECOL 2022; 42:1605. [PMID: 35549608 DOI: 10.1080/01443615.2021.1945015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Shigeki Matsubara
- Emeritus and Visiting Professor Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan
| | - Hironori Takahashi
- Professor, Department of Obstetrics and Gynecology Jichi Medical University, Shimotsuke, Tochigi, Japan
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Takahashi H, Baba Y, Usui R, Suzuki H, Horie K, Yano H, Ohkuchi A, Matsubara S. Hemostatic effect of combined procedures for placenta previa: cervix-holding, intrauterine balloon, and uterine compression suture. J Matern Fetal Neonatal Med 2021; 35:8710-8716. [PMID: 34758709 DOI: 10.1080/14767058.2021.1999922] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES Various procedures have been introduced to achieve hemostasis for postpartum hemorrhage (PPH) in placenta previa (PP). This study attempted to clarify the effectiveness of the combined use of three hemostatic procedures: Matsubara-Takahashi cervix-holding (MT-holding), intrauterine balloon (IUB), and uterine compression suture (UCS). STUDY DESIGN This was a historical cohort study on the hemostatic effect of combined procedures for patients with placenta previa (PP) undergoing cesarean section between April 2006 and December 2018. Until 2011 (2006-2011), we used MT-holding alone, whereas since 2012 we have also been using IUB and UCS: MT-holding alone was used in the former period whereas three procedures (MT-holding, IUB, UCS, and their combinations) have been used in the latter period. Perinatal outcomes were compared between 2006-2011 (before group) and 2012-2018 (after group). RESULTS Of 416 patients with PP, excluding 273 patients with cesarean hysterectomy or no hemostatic procedure, the remaining 143 patients were analyzed. In the after group, intraoperative blood loss, the percentage of patients with postoperative blood loss ≥ 500 ml, and incidence of autologous blood transfusion were significantly lower than in the before group. Multivariate analysis showed that postoperative blood loss ≥ 500 ml decreased in the after group (adjusted OR: 0.3, 95%CI: 0.1-0.8, compared with the before group). CONCLUSION PPH decreased after introducing the combination of hemostatic procedures in patients with PP. Further studies are needed to determine the best combination and optimal indication for combining hemostatic procedures for PP.
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Affiliation(s)
- Hironori Takahashi
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Yosuke Baba
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Hirotada Suzuki
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Kenji Horie
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Hitoshi Yano
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
| | - Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan
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Pregnancy-Related Hysterectomy for Peripartum Hemorrhage: A Literature Narrative Review of the Diagnosis, Management, and Techniques. BIOMED RESEARCH INTERNATIONAL 2021; 2021:9958073. [PMID: 34307683 PMCID: PMC8282389 DOI: 10.1155/2021/9958073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 06/21/2021] [Indexed: 12/14/2022]
Abstract
Postpartum hemorrhage is a life-threatening situation, in which hysterectomy can be performed to prevent maternal death. However, it is associated with high rates of maternal morbidity and mortality and permanent infertility. The incidence of pregnancy-related hysterectomy varies across countries, but its main indications are the following: uterine atony and placenta spectrum (PAS) disorders. PAS disorder prevalence is rising during the last years, mainly due to the increased number of cesarean sections. As a result, obstetricians should be aware of the difficulties of this emergent condition and improve its accurate antenatal diagnosis rates, as well as its modern management strategies. Of course, special skills are required during a pregnancy-related hysterectomy, so these patients should be referred to centers of excellence in antenatal care, where a multidisciplinary team approach is followed. This study is a narrative review of the literature of the last 5 years (PubMed, Cochrane) regarding postpartum hemorrhage to offer obstetricians up-to-date knowledge on this pregnancy-related life-threatening issue. However, there is a lack of available high-quality data, because most published papers are retrospective case series or observational cohorts.
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Matsubara S. Be cautious in claiming 'new' in paper writing. J Obstet Gynaecol Res 2020; 47:1204. [PMID: 33350005 DOI: 10.1111/jog.14628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 12/13/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Tochigi, Japan
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Matsubara S, Takahashi H. Cervix clamping for postpartum hemorrhage: Effective and safe, but is it new? Eur J Obstet Gynecol Reprod Biol 2020; 244:198-199. [DOI: 10.1016/j.ejogrb.2019.10.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Accepted: 10/17/2019] [Indexed: 10/25/2022]
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Takahashi H, Ohkuchi A, Usui R, Suzuki H, Baba Y, Matsubara S. Matsubara-Takahashi cervix-holding technique for massive postpartum hemorrhage in patients with placenta previa with or without placenta accreta spectrum disorders. Int J Gynaecol Obstet 2017; 140:357-364. [DOI: 10.1002/ijgo.12390] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 10/12/2017] [Accepted: 11/15/2017] [Indexed: 11/09/2022]
Affiliation(s)
- Hironori Takahashi
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Hirotada Suzuki
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Yosuke Baba
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
| | - Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Shimotsuke Tochigi Japan
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Matsubara S. Identifying the vaginal fornix in cesarean hysterectomy for an abnormally invasive placenta: an alternative technique. Am J Obstet Gynecol 2017; 217:493-494. [PMID: 28673790 DOI: 10.1016/j.ajog.2017.06.032] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2017] [Accepted: 06/26/2017] [Indexed: 11/19/2022]
Affiliation(s)
- Shigeki Matsubara
- Departments of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan.
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Ogoyama M, Takahashi H, Usui R, Baba Y, Suzuki H, Ohkuchi A, Matsubara S. Hemostatic effect of intrauterine balloon for postpartum hemorrhage with special reference to concomitant use of “holding the cervix” procedure (Matsubara). Eur J Obstet Gynecol Reprod Biol 2017; 210:281-285. [DOI: 10.1016/j.ejogrb.2017.01.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Accepted: 01/09/2017] [Indexed: 11/16/2022]
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Brown DA, Fletcher H. Use of mediolateral cervical clamping to control postpartum hemorrhage. Int J Gynaecol Obstet 2013; 123:164-5. [PMID: 23992626 DOI: 10.1016/j.ijgo.2013.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2012] [Revised: 06/04/2013] [Accepted: 07/24/2013] [Indexed: 12/01/2022]
Affiliation(s)
- David A Brown
- Department of Obstetrics and Gynecology, Cornwall Regional Hospital, Montego Bay, Jamaica
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Matsubara S, Baba Y, Suzuki H, Suzuki H, Nagashima T, Suzuki M. Uterine compression suture combined with holding the cervix technique: a measure to achieve hemostasis for atonic bleeding during or after cesarean section. Acta Obstet Gynecol Scand 2013; 92:1234-5. [PMID: 23782294 DOI: 10.1111/aogs.12199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Tochigi, Japan
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Matsubara S, Kuwata T, Usui R, Ohkuchi A. ‘Holding the cervix’ technique for post-partum hemorrhage for achieving hemostasis as well as preventing prolapse of an intrauterine balloon. J Obstet Gynaecol Res 2013; 39:1116-7. [DOI: 10.1111/jog.12019] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Tomoyuki Kuwata
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Rie Usui
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
| | - Akihide Ohkuchi
- Department of Obstetrics and Gynecology; Jichi Medical University; Tochigi Japan
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Matsubara S. Caesarean hysterectomy for placenta praevia accreta: Filling the bladder technique to identify an appropriate bladder separation site. J OBSTET GYNAECOL 2013; 33:163-4. [DOI: 10.3109/01443615.2012.740525] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Matsubara S, Kuwata T, Usui R, Watanabe T, Izumi A, Ohkuchi A, Suzuki M, Nakata M. Important surgical measures and techniques at cesarean hysterectomy for placenta previa accreta. Acta Obstet Gynecol Scand 2013; 92:372-7. [PMID: 23323568 DOI: 10.1111/aogs.12074] [Citation(s) in RCA: 103] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2012] [Accepted: 12/06/2012] [Indexed: 11/29/2022]
Abstract
For cesarean hysterectomy with placenta previa accreta, "universally achievable" measures are required. We propose eight measures: (i) placement of intra-iliac arterial occlusion balloon catheters; (ii) placement of ureter stents; (iii) "holding the cervix" to identify the site to be transected; (iv) uterine fundal incision; (v) avoidance of uterotonics; (vi) "M cross double ligation" for ligating the ovarian ligament; (vii) "filling the bladder" to identify the bladder separation site and "opening the bladder" for placenta previa accreta with bladder invasion; and (viii) to continue to clamp the medial side of the parametrium or the cervix or employment of the "double edge pick-up" to ligate it. These eight measures are simple, easy, effective, and thus "universally achievable".
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Affiliation(s)
- Shigeki Matsubara
- Departments of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan.
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“Holding the cervix” technique: prophylaxis for acute recurrent uterine inversion. Arch Gynecol Obstet 2013; 288:463-5. [DOI: 10.1007/s00404-013-2751-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2012] [Accepted: 01/29/2013] [Indexed: 10/27/2022]
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Matsubara S, Usui R, Watanabe T, Imayoshi M, Ichida M, Ando Y. Perimortem cesarean section or perimortem cesarean supracervical hysterectomy? Arch Gynecol Obstet 2012; 287:389-90. [DOI: 10.1007/s00404-012-2513-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2012] [Accepted: 07/31/2012] [Indexed: 10/28/2022]
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Matsubara S. Planned caesarean hysterectomy versus "conserving" caesarean section in patients with placenta accreta. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2012; 34:317-318. [PMID: 22472328 DOI: 10.1016/s1701-2163(16)35208-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Shigeki Matsubara
- Department of Obstetrics and Gynecology, Jichi Medical University, Japan
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Matsubara S. A simpler alternative to the Sengstaken-Blakemore tube: cervix-holding by forceps to control hemorrhage after cesarean section for placenta previa. J Obstet Gynaecol Res 2012; 38:903-4. [PMID: 22487147 DOI: 10.1111/j.1447-0756.2011.01813.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Matsubara S, Watanabe T, Usui R, Kuwata T. Obstetric hysterectomy: Three technical measures. J OBSTET GYNAECOL 2012; 32:154-5. [DOI: 10.3109/01443615.2011.637144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Matsubara S. Measures for peripartum hysterectomy for placenta previa accreta: avoiding uterotonic agents and “double distal edge pickup” mass ligation. Arch Gynecol Obstet 2012; 285:1765-7. [DOI: 10.1007/s00404-011-2204-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2011] [Accepted: 12/26/2011] [Indexed: 11/24/2022]
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Matsubara S, Kuwata T. Holding the uterine cervix may induce uterine contractions in atonic bleeding. Acta Obstet Gynecol Scand 2011; 90:1454-5. [DOI: 10.1111/j.1600-0412.2011.01233.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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