Modified anchored B-Lynch uterine compression suture for post partum bleeding with uterine atony.

Abstract

A prospective observational study was performed to evaluate the performance of a modified uterine compression suturing technique for the management of refractory post partum hemorrhage (PPH) at two leading tertiary referral centers in Colombo, Sri Lanka. An modified anchored B-Lynch suture was done in 17 women with PPH due to uterine atony. In 13 of the women (76%), bleeding was arrested and the uterus conserved. Four women (24%) did not respond to the anchored compression sutures, necessitating emergency post partum hysterectomy. Mean age was 31.2 years. Nine of the women (53%) were primiparous and eight (47%) parous. Mean estimated blood loss was 1994 ml (range 1200-3300 ml). This newly modified anchor B-Lynch compression suture appeared effective in controlling about 75% of PPH due to uterine atony, which allowed uterine conservation. This simple modification can provide a first line surgical step to control PPH.

• Authors: Jeevan P Marasinghe, George Condous, Harshalal R Seneviratne, Upali Marasinghe
• Journal: Acta obstetricia et gynecologica Scandinavica (Acta Obstet Gynecol Scand) Vol. 90 Issue 3 Pg. 280-3 (Mar 2011) ISSN: 1600-0412 [Electronic] United States
• PMID: 21306313 (Publication Type: Journal Article)

Topics

• Adult
• Female
• Hemostasis, Surgical (methods)
• Humans
• Infant, Newborn
• Ligation
• Postoperative Care (methods)
• Postpartum Hemorrhage (etiology, prevention & control, surgery)
• Pregnancy
• Prospective Studies
• Sri Lanka
• Suture Techniques
• Sutures
• Treatment Outcome
• Uterine Inertia (surgery)
• Uterus (surgery)
• Women's Health
• Young Adult