Document Detail

B-Lynch suture for massive persistent postpartum hemorrhage following stepwise uterine devascularization.
MedLine Citation:
PMID:  18927949     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To estimate the effectiveness and safety of the B-Lynch suture for severe persistent postpartum hemorrhage (PPH) following vessel ligation before considering hysterectomy and its impact on menstruation and uterine cavity. DESIGN: Cohort study. SETTING: University-affiliated tertiary referral center. Population. Fifteen consecutive women who underwent B-Lynch suture for persistent PPH despite vessel ligation. METHODS: Data were retrieved from medical files and telephone interviews. MAIN OUTCOME MEASURE(S): Hysterectomy, infection, hysteroscopy, future menstruations. RESULTS: In 13 of the 15 cases (86.7%), PPH occurred after cesarean deliveries. B-Lynch sutures controlled the hemorrhage and resulted in an avoidance of immediate hysterectomy in 12 of 15 cases (80%). The postpartum period was uneventful for 14 of 15 women (93.3%). In one case hysterectomy was required due to pyometra in an ischemic uterus. In the remaining 11 women where the uterus was preserved, ambulatory hysteroscopy was normal. No women reported any differences in menses or pain compared to that they experienced before pregnancy, or any clinical symptoms of early menopause. One woman reported a subsequent pregnancy with normal conception delay, whereas the ten remaining women had no desired pregnancy due to, in each case, the fear of PPH recurrence. CONCLUSIONS: B-Lynch technique appears to be an effective procedure with a relatively low morbidity to control persistent severe PPH following a failure of vessel ligation before considering hysterectomy.
Loïc Sentilhes; Alexis Gromez; Kaïs Razzouk; Benoît Resch; Eric Verspyck; Loïc Marpeau
Related Documents :
17288859 - Ruptured ectopic pregnancy in rudimentary horn of the uterus.
12797189 - Arteriovenous malformation of the uterus associated with a missed abortion.
8366209 - Microscopical characteristics of uterine wall arteries in barren aged mares.
19132379 - Complete septate uterus, obstructed hemivagina, and ipsilateral renal anomaly: pregnanc...
22510629 - Expectant management of ectopic pregnancy.
2046399 - Uterine incarceration during the third trimester: a rare complication of pregnancy.
16251499 - Trophoblast cd274 (b7-h1) is differentially expressed across gestation: influence of ox...
12643229 - The importance of number of blastomeres when embryos are transferred in the absence of ...
7075299 - The prevalence of auscultatory crackles in subjects without lung disease.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  87     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2008  
Date Detail:
Created Date:  2008-10-16     Completed Date:  2008-11-03     Revised Date:  2009-04-16    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  1020-6     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Rouen University Hospital, Charles Nicolle, Rouen, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cohort Studies
Hemostasis, Surgical / methods
Postpartum Hemorrhage / surgery*
Retrospective Studies
Suture Techniques* / adverse effects
Uterus / surgery*
Comment In:
Acta Obstet Gynecol Scand. 2009;88(4):489-90; author reply 490-2   [PMID:  19235562 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  ABO fetomaternal compatibility poses a risk for massive fetomaternal transplacental hemorrhage.
Next Document:  Bovine papillomaviruses: their role in the aetiology of cutaneous tumours of bovids and equids.