Compression hemostatic sutures in obstetrics: from history to modernity

This review presents an analysis of the development and evolution of uterine compression hemostatic sutures as a surgical method for controlling obstetric hypotonic hemorrhage. A search of Russian and international scientific literature was conducted across the following citation databases: «eLIBRARY», «PubMed», «Google Scholar» and «Scopus», covering the period 1997–2024. The key stages of the method’s development are described, from the introduction of the B-Lynch suture to its modern modifications (Hayman, Cho, Pereira, and Radzinsky–Rymashevsky techniques). A comparative analysis of their effectiveness, technical features, and potential adverse outcomes is provided, including the risks of myometrial necrosis, Asherman syndrome, and infectious complications. The analysis of the literature has shown that, despite the high effectiveness of classical techniques (up to 90–97%), their use is associated with a risk of postoperative complications. Particular attention is given to the modern technique developed by the Rostov school — the “braided” compression suture (Rymashevsky-Kantsurova), which ensures reliable hemostasis, uniform distribution of compression, and a reduction in complication rates. It is concluded that obstetric surgery is evolving toward organ-preserving approaches and further refinement of surgical hemostasis.

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