B-Lynch suture for postpartum hemorrhage

Ferguson, J. E.; Bourgeois, Francine; Underwood, Paul B.

doi:10.1016/s0029-7844(99)00590-6

Cited by 67 publications

(26 citation statements)

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“…With regard to the high compression of the uterus with sutures, the question of possible intrauterine adhesions and preserving fertility can be asked. Ferguson et al [4] performed magnetic resonance imaging and hysterosalpingography in 2 patients after the B-Lynch procedure and they did not fi nd any defect in the uterine cavity. Api et al [5] described a fi rst case of successful pregnancy after hypogastric artery ligation and the B-Lynch brace suturing procedure 2 years after cesarean section because of placental abruption and intrauterine fetal death in the 26th week of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Successful Term Pregnancy after B-Lynch Compression Suture in a Previous Pregnancy on Account of Massive Primary Postpartum Hemorrhage

et al. 2006

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A case is presented of a successful term pregnancy in a 28-year-old secundipara after previous Misgav-Ladach cesarean section and B-Lynch compression suture on account of massive postpartal hemorrhage caused by uterine atony. On account of dystocia and relative cephalopelvic disproportion, secondary repeated cesarean section was performed; she gave birth to a live child 3,900 g/52 cm, Apgar score 9/10, with a regular neonatal course. During the repeated cesarean section, thin laces of connective tissue were found along the sutures placed on the uterus during the previous B-Lynch operation. Pelvic and intrauterine adhesions were not found.

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Section: Discussionmentioning

confidence: 99%

Successful Term Pregnancy after B-Lynch Compression Suture in a Previous Pregnancy on Account of Massive Primary Postpartum Hemorrhage

et al. 2006

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“…Para el enfrentamiento de una inercia uterina se han descrito diferentes procedimientos como el masaje uterino (10), prostaglandinas (11), oxitócicos (12,13), irrigación intrauterina con prostaglandinas (14), packing uterino (15), embolización arterial (16) y diversas técnicas quirúrgicas (17)(18)(19)(20)(21)(22)(23)(24)(25).…”

Section: Discussionunclassified

“…Ambas técnicas tienen por objetivo colapsar y comprimir el cuerpo uterino en casos de inercia uterina preservando la fertili- dad futura. La técnica B-Lynch ha sido reproducida con éxito por otros autores, con fertilidad posterior comprobada (18,19,20).…”

Section: Discussionunclassified

Alternativa quirúrgica en la hemorragia grave del puerperio

M.¹,

A.³

et al. 2004

Rev. chil. obstet. ginecol.

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“…Esta técnica consiste en el pasaje de una sutura del útero con una sutura continua para aplicar una compresión sostenida de las paredes del útero ( 7 ). Este procedimiento es mucho más rápido y simple que efectuar una histerectomía o la ligadura de la arteria ilíaca interna y el reporte de una serie de casos en diversas partes del mundo sugiere que esta técnica es muy efectiva ( [8][9][10][11][12][13][14] ).…”

Section: Introductionunclassified

La sutura compresiva del útero en cesárea con atonía uterina

2013

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ResumenObjetivo: Determinar si el empleo de la sutura compresiva del útero (técnica de B-Lynch) durante la cesárea en casos de atonía uterina disminuye la pérdida sanguínea y evita la histerectomía posparto. Material y Métodos: Estudio retrospectivo de las cesáreas que cursaron con atonía uterina durante la intervención, desde el 1 de enero de 1990 al 31 de diciembre de 2003, en el Hospital San Bartolomé de Lima. El método estándar de manejo de la atonía uterina en la cesárea consiste en el masaje uterino, el empleo de agentes uterotónicos (ocitocina, prostaglandinas), ligadura de arterias uterinas/ hipogástricas y la histerectomía posparto. Las variables maternas y perinatales obtenidas de las historias clínicas fueron ingresadas a una base de datos computarizado (SPSS versión 10). Resultados: Se identificó 46 casos: en 30 se empleó la técnica B-Lynch y en 16 el método estándar. No hubo diferencias en las características maternas entre ambos grupos. El grupo de B-Lynch presentó subjetivamente menor perdida sanguínea, recibió menor número de unidades de sangre transfundida y presentó significativo menor riesgo de histerectomía posparto comparado con el método estándar (promedio ± DE: 1144,4±311,7 mL vs 1666,9±794,4 mL, p<0,05; 0,36±0,66 vs 2,90±3,64, p<0,05; y OR 0,08, IC95% 0,01-0,45, p<0,01, respectivamente). Conclusiones: La sutura compresiva del útero durante la cesárea en la atonía uterina parece reducir el sangrado vaginal, la transfusión sanguínea y el empleo de la histerectomía comparado con el método estándar. Palabras clave: Hemorragia posparto; cesárea; suturas; útero.Uterine compression suture in uterine atony during cesarean section Abstract Objetive: To ascertain whether the use of uterine compression suture (B-Lynch technique) during a cesarean section with uterine atony decreases the amount of blood loss and prevents postpartum hysterectomy. Material and Methods: Retrospective study of all the cesarean section deliveries complicated by uterine atony from January 1, 1990 through December 31, 2003 at San Bartolome Hospital in Lima. The standard management of uterine atony included uterine massage, use of uterotonic agents (ocytocin, prostaglandins), uterine/hypogastric artery ligature and, finally, postpartum hysterectomy. Maternal and Infant clinical charts were reviewed and variables were entered into a computer system analysis (SPSS version 10). Results: Forty six cases were identified: B-Lynch technique was used in 30 cases and the standard method in 16 cases. There was no difference in maternal characteristic between both groups. B-Lynch technique group presented subjective lower amount of blood loss, received lower units of blood transfusion and had significant lower risk of postpartum hysterectomy as compared to the standard method group (mean ± SD: 1144,4±311,7 mL vs 1666,9±794,4 mL, p<0,05; 0,36±0,66 vs 2, 90±3,64, p<0,05; and OR 0,08, CI95% 0,45, p<0,01, respectively). Conclusions: Uterine compression sutures during a cesarean section with uterine atony may reduce the amount of blood los...

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B-Lynch suture for postpartum hemorrhage

Abstract: The B-Lynch suture might be a valuable addition to the surgical treatment of postpartum hemorrhage due to uterine atony.

Cited by 67 publications

References 1 publication

Successful Term Pregnancy after B-Lynch Compression Suture in a Previous Pregnancy on Account of Massive Primary Postpartum Hemorrhage

Successful Term Pregnancy after B-Lynch Compression Suture in a Previous Pregnancy on Account of Massive Primary Postpartum Hemorrhage

Alternativa quirúrgica en la hemorragia grave del puerperio

La sutura compresiva del útero en cesárea con atonía uterina

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