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B-LYNCH SUTURE FOR POSTPARTUM HEMORRHAGE

2000; Lippincott Williams & Wilkins; Volume: 95; Issue: Supplement Linguagem: Inglês

10.1097/00006250-200006001-00009

1873-233X

J.E. Ferguson, F. Bourgeois, Paul B. Underwood,

Ectopic Pregnancy Diagnosis and Management

In Brief Background Postpartum hemorrhage is a major contributor to maternal morbidity and mortality. Numerous medical and surgical therapies have been used, but none has been uniformly successful. Case Two women with postpartum hemorrhage due to uterine atony after cesarean for twins are presented. Neither responded to medical management. In the first subject, O'Leary uterine artery ligation and utero-ovarian branch ligations were done without benefit. The B-Lynch suture immediately sustained correction of hemorrhage in both subjects. Magnetic resonance imaging and hysterosalpingogram after the first case showed no uterine defects. Conclusion The B-Lynch suture might be a valuable addition to the surgical treatment of postpartum hemorrhage due to uterine atony. The B-Lynch suture is technically simple and might be a valuable addition to the surgical treatment of postpartum hemorrhage.