Uterine rupture at 33 weeks following previous B-lynch suture

Amarasekara, Sathika; Dissanayake, Don W; Jayawardana, A; Silva, D

doi:10.4038/cmj.v56i3.3606

Cited by 10 publications

(12 citation statements)

References 7 publications

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“…However, there have been reports of uterine rupture in women who received a single compression suture with no concomitant vessel ligation. 10,23,24 Placenta percreta has also been implicated in some cases of uterine rupture. 9,11 It is very difficult to identify women at risk of uterine rupture in a subsequent pregnancy.…”

Section: Discussionmentioning

confidence: 99%

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Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage

Subbaiah

Chaturvedula

Kubera

et al. 2021

Intl J Gynecology & Obste

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Uterine compression sutures are commonly used for controlling postpartum hemorrhage (PPH) when standard medical treatment with uterotonic agents is unsuccessful. These sutures are safe and effective in managing PPH in the setting of uterine atony. 1,2 The first uterine compression suture was described by B-Lynch and is widely used. 3 Other commonly used uterine compression sutures include Cho's square suture and Hayman's suture. 4,5 Placing these sutures is relatively simple and prevents hysterectomy in most of the women who receive these compression sutures.Obstetrical outcome in subsequent pregnancies in these women has not been sufficiently studied. Although data from several small studies are reassuring, 6-9 some studies have reported complications like uterine rupture and placenta accreta in subsequent pregnancies. 10,11 Most of these studies are from developed countries. Very few studies from developing countries have reported the subsequent obstetrical outcome in these women. 12 In this study, the subsequent obstetrical outcome in women who received uterine compression suture at a single center in India was assessed.

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Section: Discussionmentioning

confidence: 99%

“…The woman who had a uterine rupture in the present study had both of these risk factors. However, there have been reports of uterine rupture in women who received a single compression suture with no concomitant vessel ligation 10,23,24 . Placenta percreta has also been implicated in some cases of uterine rupture 9,11 .…”

Section: Discussionmentioning

confidence: 99%

Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage

Subbaiah

Chaturvedula

Kubera

et al. 2021

Intl J Gynecology & Obste

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“…The latter has been invoked as a cause of a variety of negative outcomes, including future uterine rupture and abnormal placentation. 7,9,11 Nevertheless, adverse outcomes such as those described in the case reports are also known to occur in women who have had no history of B-Lynch placement. The strengths of this study include that it included a control group of women who had postpartum hemorrhage, a complication that may itself be associated with an increased risk of future adverse pregnancy outcomes.…”

Section: Discussionmentioning

confidence: 88%

Subsequent Pregnancy Outcome After B-Lynch Suture Placement

Cowan

Grobman

2014

Obstetrics &Amp; Gynecology

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“…Este caso es el cuarto caso de rotura uterina posterior a la realización de la sutura compresiva de B-Lynch, y apenas el segundo informe de rotura uterina asociada a acretismo placentario que ocurre durante el segundo trimestre del embarazo (3,15) . Todos los casos se produjeron en la zona del fondo uterino en la que se realizó la sutura compresiva, que aparentemente sufrió el mayor adelgazamiento después de realizar el procedimiento.…”

Section: Discussionunclassified

Rotura uterina en el segundo trimestre por acretismo placentario, en gestante con sutura compresiva uterina previa

Torres-Cepeda¹,

Rondón-Tapía²

2019

Rev peru ginecol obstet.

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La hemorragia posparto puede ser una afección potencialmente mortal. Se han descrito técnicas exitosas que utilizan suturas de compresión uterina para controlar la hemorragia postparto, en algunos casos utilizando una combinación de técnicas. Los procedimientos para reducir la pérdida sanguínea varían desde masaje uterino, tratamiento médico, taponamiento uterino e histerectomía. La sutura compresiva uterina, o técnica de B-Lynch, se ha propuesto para controlar la hemorragia posparto en aquellos casos de atonía uterina, preservando la fertilidad. Aunque el reporte de complicaciones de este procedimiento es escaso, se ha descrito la aparición de necrosis, piometra, rotura uterina y, más recientemente, invasión exagerada y anormal de la placenta (acretismo placentario) en el embarazo subsiguiente. En necesario informar a las pacientes sobre las complicaciones potenciales del procedimiento y la necesidad de seguimiento postoperatorio para confirmar la ausencia de complicaciones. Se presenta un caso de rotura uterina en el segundo trimestre por acretismo placentario en gestante con sutura compresiva uterina previa.

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Uterine rupture at 33 weeks following previous B-lynch suture

Cited by 10 publications

References 7 publications

Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage

Subsequent pregnancy outcome after uterine compression suture placement for postpartum hemorrhage

Subsequent Pregnancy Outcome After B-Lynch Suture Placement

Rotura uterina en el segundo trimestre por acretismo placentario, en gestante con sutura compresiva uterina previa

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