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Published on: September 12, 2025
Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta
Ahmed Y Shahin1, Tarek A Farghaly, Safwat A Mohamed
1Department of Obstetrics and Gynecology, Women's Health Centre, Assiut University, Egypt. Ahmed.Shahin@web.de
Objective:
To assess the effectiveness of bilateral uterine artery ligation followed by B-Lynch compression suturing in women with atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta.
Method:
This protocol was followed in 26 women undergoing cesarean delivery for placenta accreta.
Results:
Two women died from disseminated intravascular coagulopathy. In the remaining 24 women, placental remnants completely disappeared within 8 months and ovulation resumed after a mean+/-SD of 51.6+/-3.2 days. Moreover, 18 women (75%) became pregnant within 12 months.
Conclusion:
Atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta can be safely controlled by bilateral uterine artery ligation followed by B-Lynch compression suturing in women who desire to remain fertile.