B-Lynch suture — An experience

Nalini, Neelam; Kumar, Singh Jitendra

doi:10.1007/s13224-010-0018-z

Cited by 8 publications

(9 citation statements)

References 1 publication

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“…In Nalini study main pathology during pregnancy responsible for PPH was prolonged labour followed by pre-eclampsia in Punam study most common causative factor was pre-eclmapsia. 5,7 In Nidhi study most common causative factor was prolonged labour followed by abruption. In present study most common causative factor was severe pre-eclampsia followed by abruption.…”

Section: Studymentioning

confidence: 99%

Study of efficacy of compression suture in the surgical management of atonic PPH

Gadappa

Gavit

Sharma

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Study was conducted to analysis efficacy of compression suture in the surgical management of Atonic PPH. It’s prospectively carried out with 60 cases required compression suture in managing Atonic PPH. Atonic uterus is preventable cause of maternal mortality and morbidity constituting 80% PPH cases.Methods: Prospective study carried out at tertiary care center for studying efficacy of compression suture in the surgical management of atonic PPH for one year, started after approval from ethical committee.Results: Compression suture is effective in managing atonic PPH. out of 60 cases, 4 patient's required obstetric hysterectomy as a last resort to control Atonic PPH. Uterus was conserved in 93.3% of cases.Conclusions: Development of compression suture technique has proved to be effective in the control of massive Atonic PPH not responding to medical management is an alternative to hysterectomy when timely applied. It proves to be valuable addition for surgical treatment of PPH and for saving uteri after medical management of PPH failed. Authors can adopt compression suture as a mid-step before resorting to uterine devascularisation or hysterectomy when medical line of management fails. Resident doctors in teaching institutes must be well trained in this technique.

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Section: Studymentioning

confidence: 99%

Study of efficacy of compression suture in the surgical management of atonic PPH

Gadappa

Gavit

Sharma

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…12 Similarly, Nalini et al reported 28 years mean age. 13 On the contrary, Koh et al reported 35 years as the mean age 14 , which can be explained by elderly gravid uterus leading to atonicity and thus PPH. The results of our study regarding age were consistent with several other studies.…”

Section: Discussionmentioning

confidence: 98%

“…B-lynch suture has been declared highly successful in earlier studies where success rates of 100% 18,21,22 , 97.3% 13 , 97.78% 25 , 93.5% 23 and 85% 24 has been reported.…”

Section: Discussionmentioning

confidence: 99%

Atonic Primary Postpartum Haemorrhage; The Efficacy of B-Lynch Suture in Management During Cesarean Section

Qadir¹,

Amir²

2017

TPMJ

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ABSTRACT… Background: Surgical methods of reduction of bleeding from uterus by inserting compression sutures have been developed to reduce the need for emergency hysterectomy in patients with atonic primary postpartum haemmorhage. Objectives: To determine the efficacy of B-Lynch brace suture in the management of atonic primary postpartum haemmorhage during cesarean section. Study Design: A prospective observational study. Setting: Gynaecology Department, Khyber Teaching Hospital, Peshawar. Period: 1 st January 2016 to 31 st December 2016. Methodology: 14 patients who underwent B-lynch suturing for atonic PPH during cesarean section, nonresponsive to medical line of management. Patient's age, parity, booking status, birth weight of newborn, blood transfusion and effectiveness of procedure was noted. The patients were followed up for 6months for any postprocedural morbidity. Results: In all 14 patients with atonic primary postpartum haemmorhage with failed medical treatment, B-lynch suture was applied. 10(71.42%) belonged to 21-30 years age group. 8(57%) were multiparous and 10(71.42%) were non booked. Birth weight of 9(52.94%) cases was 2-3kg.4-5 units of blood was transfused in 6(42.8%) cases. Most common indication for cesarean section was prolonged labor in 4(28.57%), followed by placental abruption and multiple pregnancy in 3(21.42%) each. Success rate of this procedure was 92.85%. It failed in one patient who ended up in hysterectomy. Patients were followed for 6 months and no postprocedural morbidity was seen. Conclusion: This is a beneficial procedure for surgical treatment of atonic uterus especially in young patients where fertility issues are of concern, and has added advantage of less time of application, less bleeding and lesser skill requirement. Key words:Atonic postpartum haemmorhage, B-Lynch, Placental abruption, Lower segment cesarean section, Coagulopathy, Uterine inversion. Article Citation: Qadir M, Amir S. Atonic primary postpartum haemorrhage; the efficacy of B-lynch suture in management during cesarean section. Professional Med J 2017;24(10)

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“…The success rate of B-lynch suture in our study was 92.85%, where out of 14, only one patient ended in caesarean hysterectomy. B-lynch suture has been declared highly successful in earlier studies where success rates of 100% 18,21,22 , 97.3% 13 , 97.78% 25 , 93.5% 23 and 85% 24 has been reported.…”

Section: Discussionmentioning

confidence: 99%

Atonic Primary Postpartum Haemorrhage;

Qadir

Amir

2017

TPMJ

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Background: Surgical methods of reduction of bleeding from uterus by insertingcompression sutures have been developed to reduce the need for emergency hysterectomy inpatients with atonic primary postpartum haemmorhage. Objectives: To determine the efficacyof B-Lynch brace suture in the management of atonic primary postpartum haemmorhage duringcesarean section. Study Design: A prospective observational study. Setting: GynaecologyDepartment, Khyber Teaching Hospital, Peshawar. Period: 1st January 2016 to 31st December2016. Methodology: 14 patients who underwent B-lynch suturing for atonic PPH duringcesarean section, nonresponsive to medical line of management. Patient’s age, parity, bookingstatus, birth weight of newborn, blood transfusion and effectiveness of procedure was noted.The patients were followed up for 6months for any postprocedural morbidity. Results: In all 14patients with atonic primary postpartum haemmorhage with failed medical treatment, B-lynchsuture was applied. 10(71.42%) belonged to 21-30 years age group. 8(57%) were multiparousand 10(71.42%) were non booked. Birth weight of 9(52.94%) cases was 2-3kg.4-5 units of bloodwas transfused in 6(42.8%) cases. Most common indication for cesarean section was prolongedlabor in 4(28.57%), followed by placental abruption and multiple pregnancy in 3(21.42%)each. Success rate of this procedure was 92.85%. It failed in one patient who ended up inhysterectomy. Patients were followed for 6 months and no postprocedural morbidity was seen.Conclusion: This is a beneficial procedure for surgical treatment of atonic uterus especially inyoung patients where fertility issues are of concern, and has added advantage of less time ofapplication, less bleeding and lesser skill requirement.

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B-Lynch suture — An experience

Cited by 8 publications

References 1 publication

Study of efficacy of compression suture in the surgical management of atonic PPH

Study of efficacy of compression suture in the surgical management of atonic PPH

Atonic Primary Postpartum Haemorrhage; The Efficacy of B-Lynch Suture in Management During Cesarean Section

Atonic Primary Postpartum Haemorrhage;

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