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Updated: May 12, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Fertility after "only B-Lynch" suture: a case report and literature review
Sandro Gerli1, Alessandro Favilli, Claudia Giordano
1Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy. gerber@unipg.it
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.
