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B-Lynch suture for postpartum hemorrhage
J E Ferguson1, F J Bourgeois, P B Underwood
1Department of Obstetrics and Gynecology, University of Virginia School of Medicine, Charlottesville, Virginia, USA. jferguson@virginia.edu
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.
