Ghosh suture introduced at Al Zahra Hospital Dubai to tackle postpartum hemorrhage
Al Zahra Hospital Dubai highlighted the clinical achievement of Dr. Sharda Brata Ghosh after his surgical innovation, the Ghosh suture, was published in peer-reviewed medical journals and presented at international conferences. The technique, also known as the Alternating Sequential Suture Tension Technique (ASSTT), aims to provide a rapid, uterine-sparing option for controlling postpartum hemorrhage and preserving future fertility.
Who, where and when: presentations and publications
The Ghosh suture has been documented in recent peer-reviewed articles and featured at the Annual Conference of the Indian College of Obstetricians and Gynaecologists (AICOG 2026) and the International Congress on Obstetrics and Women’s Health – Dubai 2025. Officials at Al Zahra Hospital Dubai said the timing of these presentations helped disseminate the method to clinicians in the region and internationally.
Dr. Sharda Brata Ghosh, consultant in obstetrics and gynaecology at Al Zahra Hospital Dubai, described the technique during both meetings and emphasized its practical role in emergency care. The hospital stated that this development aligns with its commitment to research and advanced clinical practice for women’s health.
Clinical evidence and applications of the Ghosh suture
According to a clinical report accompanying the publications, the Ghosh suture was applied in more than 100 cases of uterine atony and in several cases involving placenta accreta spectrum disorders. The study indicates promising outcomes in controlling bleeding and reducing the need for hysterectomy in suitable patients, though officials caution that wider trials are necessary to confirm long-term efficacy.
The ASSTT technique relies on sequential, balanced tightening of surgical sutures to compress the uterine walls effectively. Therefore, the procedure can be completed in approximately four minutes in experienced hands, which is significant in emergencies where every minute counts. Furthermore, the method does not require additional uterine incisions or complex operative steps, making it accessible in a range of surgical settings.
How the technique works and clinical advantages
The Ghosh suture uses alternating sequential tension on sutures placed around the uterus to generate uniform compressive pressure. This approach is designed to achieve haemostasis without extensive tissue disruption. In contrast to some existing uterine compression sutures, the ASSTT emphasizes rapid, reproducible tensioning to control hemorrhage promptly.
Clinicians involved in the initial series reported that the technique can be integrated into established protocols for postpartum hemorrhage management. Additionally, the method’s uterine-sparing nature supports uterine preservation and future fertility when clinically appropriate. However, patient selection remains essential, and the technique may not be suitable for all causes of postpartum bleeding.
Postpartum hemorrhage context and global impact
Postpartum hemorrhage is a leading cause of maternal mortality and severe morbidity worldwide, often requiring immediate intervention to prevent death. In many cases, uncontrolled bleeding leads to emergency hysterectomy to save the patient’s life, which eliminates future childbearing potential. Public health experts note that techniques that safely reduce hysterectomy rates can have important implications for maternal health and reproductive choices.
Therefore, innovations like the Ghosh suture that aim to control bleeding quickly and preserve the uterus are of particular interest. The clinical report suggests the technique could complement existing measures such as uterotonics, balloon tamponade, and other compression sutures, according to statements from Al Zahra Hospital Dubai.
Institutional response and regional significance
Dr. Amr Ali, medical director of Al Zahra Hospital Dubai, praised the development as evidence of the hospital’s role in advancing medical practice. He said the institution is committed to supporting clinical research and adopting proven innovations that enhance patient safety and care quality. The hospital added that sharing findings through international forums helps establish Dubai as a regional centre for medical excellence.
Furthermore, the hospital intends to continue monitoring outcomes and contribute to broader clinical evaluations. Officials emphasized collaboration with regional and international colleagues to validate the technique across diverse patient populations and care settings.
Training and implementation considerations
Successful adoption of the Ghosh suture will require targeted training, simulation, and integration into obstetric emergency protocols. Experienced surgeons can perform the procedure quickly, but the report notes that reproducible results depend on appropriate technique and decision-making in the operating theatre. Therefore, multidisciplinary training including obstetricians, anesthetists and theatre teams is recommended.
What to watch next
Going forward, clinicians and health systems should watch for larger randomized studies and guideline assessments to determine where the Ghosh suture fits within standard postpartum hemorrhage algorithms. The next steps include multi-centre trials to compare outcomes against established uterine-sparing procedures and to evaluate long-term reproductive and safety endpoints.
Meanwhile, Al Zahra Hospital Dubai and the authoring team said they will continue to collect data and report results to the medical community. Observers should look for follow-up publications and presentations over the coming 12 to 24 months that could inform broader clinical adoption.
In conclusion, the Ghosh suture represents a practical, rapid uterine-sparing technique for managing select cases of postpartum hemorrhage. According to the published series and conference reports, the method shows promise in reducing emergency hysterectomy rates while maintaining safety. Stakeholders should monitor ongoing research, training initiatives and guideline reviews to assess the technique’s role in improving maternal outcomes.