B-Lynch suture — An experience

Objectives To study the effectiveness of B-Lynch suture to control postpartum hemorrhage. To know the effect of this extreme degree of compression (produced by B- Lynch suture) on uterine anatomy three months after delivery. Method B-Lynch suture (Classical / modified form) was applied in 75 cases....

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology of India 2010-04, Vol.60 (2), p.128-134
Main Authors: Neelam, Nalini, Kumar, Singh Jitendra
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Obstetrics/Perinatology/Midwifery
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Summary:Objectives To study the effectiveness of B-Lynch suture to control postpartum hemorrhage. To know the effect of this extreme degree of compression (produced by B- Lynch suture) on uterine anatomy three months after delivery. Method B-Lynch suture (Classical / modified form) was applied in 75 cases. A No. 2 chromic catgut suture was used on a big size round body needle. During the placement of suture, patient was placed in frog-leg position to assess the compression effect of B-Lynch suture. In 62 cases (82.66%) B-Lynch suture was the only intervention. In 8 cases (10.66%) uterine arteries (O’Leary method) were also ligated and in Ave cases (6.66%) cervico-isthmic apposition suture was also applied in addition to B-Lynch suture. Result Failure rate was 2.67%. Hysterectomy was required in two cases Conclusion B-Lynch suture technique is a simple, effective, safe, life saving and fertility preserving method to control atonic postpartum hemorrhage.
ISSN:0971-9202
0975-6434
DOI:10.1007/s13224-010-0018-z