B-Lynch Suture for Postpartum Hemorrhage

Les hémorragies graves de la délivrance : doit-on lier, hystérectomiser ou emboliser ?

“…Cette technique décrite par B-Lynch [60,61] consiste à réaliser une suture médiolatérale en bretelle autour du corps utérin ayant pour seul but de comprimer de façon durable l'utérus (Fig. 3).…”

“…Des sutures cervico-isthmiques transversales transfixiantes peuvent précéder la compression utérine pour contrôler un saignement en rapport avec une anomalie d'insertion placentaire sur le segment inférieur [62]. Actuellement dans la littérature, les effectifs des patientes traitées selon ces procédés sont faibles ; ils se limitent à dix cas publiés [60][61][62].…”

Surgical treatment of postpartum haemorrhage

“…The same procedure is repeated on the other side. Small series of these compression techniques are described and in about 80% the bleeding could be stopped [13,14].…”

Results of hysterosalpingogram in women with previous B‐Lynch suture

“…There have been case reports of uneventful subsequent pregnancies after previous compression sutures [3,4]. Ferguson et al [3] performed magnetic resonance imaging and hysterosalpingography in 2 patients after B-Lynch suture; they did not detect any defects in the uterine cavity. Sentilhes et al [4] reported a case in which a woman underwent uterine devascularization/B-Lynch compression suturing and showed no marks of the B-Lynch procedure at subsequent cesarean delivery.…”

“…In most of the cases performed since 1997, there have been no serious postoperative sequelae, but rare cases of uterine necrosis and Asherman syndrome have been reported [2]. There have been case reports of uneventful subsequent pregnancies after previous compression sutures [3,4]. Ferguson et al [3] performed magnetic resonance imaging and hysterosalpingography in 2 patients after B-Lynch suture; they did not detect any defects in the uterine cavity.…”