Fig. 1

Schematic representation of the Mansoura-VV compression sutures: A100 cm catgut no 2 was thrown to form 2 equal parts (each 50 cm) on a blunt straightened semicircular 70-mm needle. The needle transfixes the right uterine wall from anterior to posterior, about 2 cm below the hysterotomy incision (a, b). After transfixation, the cat gut was divided into 2 longitudinal medial (M) and lateral (L) threads (c). The free (aL and pL) ends of the lateral threads tied above the fundus about 3 cm from the right cornual border forming the lateral limb of the V suture (d). 5-The free ends of the medial threads (aM and pM) were tied above the fundus 2–3 cm medial to the lateral limb completing the V suture (e). Using a similar technique, another V suture was laid on the left side, and then the VV suture is complete (f)