Tricks of controlling bleeding from the extended Uterine angles in second stage caesarean section

Most important thing exposure of the Uterine angle.  You will need a good assistance.
Once you expose the angle, I find out how far low down the tear has extended.
Once the above is done,  as the tissues will be friable use thin but strong suture such as PDS 2- 0. Put interrupted sutures. You can use temporary swab to tamponade the area. Once happy with the haemostasis,  insert a Robinson's pelvic drain. Close the skin with steel clips as this will reveal internal bleeding easily if any.