Pereira stitch

Pereira described a technique in which a series of transverse and longitudinal sutures of a delayed absorbable multifilament suture are placed around the uterus via a series of bites into the submucosal myometrium. Two or 3 rows of these sutures are placed in each direction to completely envelop and compress the uterus, similar to the way one might truss a stuffed roast. When the transverse sutures are brought through the broad ligament, care should be taken to avoid damaging blood vessels, ureters, and fallopian tubes. The longitudinal sutures begin and end at the last transverse suture nearest the cervix and do not enter the uterine cavity. The myometrium should be manually compressed prior to tying down the sutures to facilitate maximal compression.