Fertility after Successful Use of the B-Lynch Uterine Compression Suture in Atonic Postpartum Hemorrhage during Cesarean Delivery
Keywords:
postpartum hemorrhage, uterine atony, uterine compression sutureAbstract
The present study described the patient with acute postpartum hemorrhage (PPH) due to the uterine atony during the cesarean section. The author presented the success of the next pregnancy after compression suture the uterus with the B-Lynch technique. Acute PPH caused by the uterine atony, which happened both times in the same patient, was monitored for quick diagnosis and proper treatment to prevent the adverse event. The uterine compression suture should be an attempt to preservative uterus. The B-Lynch suture’s advantage was applied too quickly, safely, and preserved reproductive health status. This procedure should be trained for general obstetricians.
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B-Lynch C, Coker A, Lawal AH, Abu J, Cowen MJ.The B-Lynch surgical technique for the control of mas-sive postpartum haemorrhage:an alternative to hyster-ectomy? Five cases reported.Br J Obstet Gynaecol 1997;104(3):372-5.
Sathe NA, Likis FE, Young JL, Morgans A, Carl-son-Bremer D, Andrews J. Procedures and uterine-spar-ing surgeries for managing postpartum hemorrhage:a systematic review. Obstet & Gynecol Surv 2016; 71(2):99–113.
Barbieri RL. A stitch in time: the B-Lynch, Hayman, and Pereira uterine compression sutures. OBG Manag 2012;24(12):6–11.
Cho JH, Jun HS, Lee CN. Hemostatic suturing technique for uterine bleeding during cesarean delivery. Obstet Gynecol 2000;96(1):129-31.
Kaoiean S. Successful use of the B-Lynch uterine com-pression suture in treating intractable postpartum hemor-rhage after cesarean delivery in Rajavithi Hospital. J Med Assoc Thai 2013;96(11):1408–15.
Chittacharoen A, Suthutvvoravut S. B-Lynch uterine compression suture for treatment of massive postpartum hemorrhage. The 60th Annual Congress of the Japan Society of Obstetrics and Gynecology; 2008 April 12; Tokyo, Japan.
Cunningham FG, Leveno KJ, Bloom SL, Dashe JS, Hoffman BL, Casey BM, et al. Williams Obstetrics 25ed. New York: McGraw-Hill Education; 2018.
Arulkumaran S, Karoshi M, Keith LG, Lalonde AB, Christopher B. A comprehensive textbook of postpartum hemorrhage: an essential clinical reference for effective management. London: Global Library of Women’s Medicine by Sapiens Publishing; 2012.
Bateman BT, Berman MF, Riley LE, Leffert LR. The epidemiology of postpartum hemorrhage in a large, na-tionwide sample of deliveries. Anesth Analg 2010; 110(5):1368–73.
World Health Organization. WHO recommendations for the prevention and treatment of postpartum haemorrhage. Geneva: World Health Organization; 2012.
Dohbit JS, Foumane P, Nkwabong E, Kamouko CO, Tochie JN, Otabela B, et al. Uterus preserving surgery versus hysterectomy in the treatment of refractory post-partum haemorrhage in two tertiary maternity units in Cameroon: a cohort analysis of perioperative outcomes. BMC Pregnancy and Childbirth 2017;17(1):1–7.
Mousa HA, Alfirevic Z. Treatment for primary postpar-tum haemorrhage. Cochrane Database of Systematic Reviews. New Jersey: John Wiley & Sons; 2003.
Coker A, Oliver R. Demographic and logistical consid-erations. Definitions and classifications. In: B-Lynch C, editor. A textbook of postpartum hemorrhage. London: Sapiens Publishing; 2006. p. 11-7.
Mousa HA, Walkinshaw S. Major postpartum haemor-rhage. Curr Opin Obstet Gynecol 2001;13(6):595–603.
Tadakawa M, Sugawara J, Saito M, Nishigori H, Utsu-nomiya H, Nagase S, et al. Fertility and pregnancy outcomes following B-L ynch sutures for post-partum hemorrhage. J Obstet Gynaecol Res 2015;41(4):559–64.
Ghezzi F, Cromi A, Uccella S, Raio L, Bolis P, Surbek D. The Hayman technique: a simple method to treat postpartum haemorrhage. Br J Obstet Gynaecol 2007;114(3):362–5.
Price N, B-Lynch C. Technical description of the B-Lynch brace suture for treatment of massive postpar-tum hemorrhage and review of published cases. Int J Fertil Womens Med 2005;50(4):148.
AbdRabbo SA. Stepwise uterine devascularization: a novel technique for management of uncontrollable post-partum hemorrhage with preservation of the uterus. Am J Obstet Gynecol 1994;171(3):694–700.
Senturk MB, Cakmak Y, Ozalp A. Postpartum depression and associated factors after emergency peripartum hys-terectomy. J Pak Med Assoc 2017;67(1):49–53.
Doumouchtsis SK, Nikolopoulos K, Talaulikar Vs, Krishna A, Arulkumaran S. Menstrual and fertility out-comes following the surgical management of postpartum haemorrhage -a systematic review. Br J Obstet Gynaecol 2014;121(4):382-8.
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