Document Detail


Fertility after "only B-Lynch" suture: A case report and literature review.
MedLine Citation:
PMID:  23548229     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: A new fertility assessment after a B-Lynch suture without a concomitant uterine devascularization is proposed.
CASE REPORT: The case of a 37-year-old woman who experienced postpartum hemorrhage due to uterine atony during cesarean delivery of the previous pregnancy is reported. A B-Lynch brace suturing technique, not associated to any other hemostatic surgical procedure, was carried out. One year later and after an uncomplicated pregnancy of 39 weeks, the patient delivered a healthy infant by an elective cesarean section. Only omental adhesions were found on the anterior surface of the uterus as a consequence of the previous B-Lynch suture.
CONCLUSION: The B-Lynch hemostatic surgical procedure, alone, does not seem to have a negative impact on fertility. Additional clinical evidences in a greater case-series of patients are needed to assess the value of the method for fertility preservation.
Authors:
Sandro Gerli; Alessandro Favilli; Claudia Giordano; Silvia Pericoli; Elena Laurenti; Gian Carlo Di Renzo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Taiwanese journal of obstetrics & gynecology     Volume:  52     ISSN:  1875-6263     ISO Abbreviation:  Taiwan J Obstet Gynecol     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-04-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101213819     Medline TA:  Taiwan J Obstet Gynecol     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  110-2     Citation Subset:  IM    
Copyright Information:
Copyright © 2013. Published by Elsevier B.V.
Affiliation:
Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy. Electronic address: gerber@unipg.it.
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