Synechia after uterine compression sutures

B-Lynch: A Technique for Uterine Conservation or Deformation? A Case Report with Literature Review

“…Similar cases have also been reported in literature. Rathat G et al, followed 37 post uterine compression suture patients and found that 7 had synechia of varying degrees, with three of them having severe synechia which was akin to Asherman's syndrome [11]. One nearly similar isolated case of Asherman's syndrome which occurred after B-Lynch and vessel ligation done for postpartum haemorrhage, has been reported by Goojha et al, [12].…”

Adverse Events after Uterine Compression Sutures for Postpartum Hemorrhage: Report of Three Cases and Review of the Literature

“…The authors proposed that even if UCS is an easier technique when compared with vascular ligation, the long-term fertility outcomes may not be so encouraging. 9 Other than case reports, a retrospective study from France reported uterine synechia among women after UCS for postpartum hemorrhage. 10 The integrity of the uterine cavity was confirmed by hysteroscopy or hysterosalpingogram after a median time of 9.3 months (range: 2.4-34.8 months) after delivery.…”

“…10 Since chromic catgut is not available in the market now, long lasting absorbable sutures (either polyglycolic acid USP 0 or 1) are mostly used in the above mentioned case series where 26.7%-53% of the patients had synechia after UCS. 9,10 The optimal time and method for the evaluation of the patients with UCS in order to diagnose and treat synechia is also obscure since the number of the reported cases is very scarce. During follow-up of patients, the possibility of this complication should be kept in mind and the integrity of uterine cavity would rather be evaluated either by hysteroscopy, hysterosalpingography or sonohysterography in the postpartum period where possible.…”

AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)

“…Women with IUAs associated with uterine artery embolization [103] or uterine compression sutures placed for postpartum hemorrhage appear to have less favorable outcomes than those with adhesions secondary to intrauterine surgical trauma [104, 105]. The use of gel barriers has been the subject of a meta-analysis that notes that fertility outcomes are generally of poor quality [106].…”