Conservative treatment in postpartum hemorrhage refractory to medical treatment

B-Lynch Suture

Authors

  • Santiago Scasso Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital de la Mujer "Paulina Luisi", Clínica Ginecotocológica C. Asistente
  • Joel Laufer Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital de la Mujer "Paulina Luisi", Clínica Ginecotocológica A. Asistente
  • Claudio Sosa Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital de la Mujer "Paulina Luisi", Clínica Ginecotocológica C. Profesor Adjunto
  • Eugenia Verde Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital de la Mujer "Paulina Luisi", Clínica Ginecotocológica C. Residente
  • Leonel Briozzo Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital de la Mujer "Paulina Luisi", Clínica Ginecotocológica A. Profesor Titular
  • Justo Alonso Universidad de la República, Facultad de Medicina, Centro Hospitalario Pereira Rossell, Hospital de la Mujer "Paulina Luisi", Clínica Ginecotocológica C. Profesor Titular

Keywords:

POSTPARTUM HEMORRHAGE, SUTURES

Abstract

Objectives: to disseminate the application of a conservatory surgical technique to treat severe postpartum hemorrhage secondary to uterine atony refractory to medical treatment.
Method: report on three clinical cases of uterine atony where B-Lynch suture was applied at the Pereira Rossell Hospital Center.
Results: in all three cases postpartum hemorrhage was effectively controled through a conservative treatment, being there no complications during application or in the immediate puerperium.
Conclusions: B-Lynch hemostatic suture is an alternative that has been widely accepted globally and it has been included in protocols for handling postpartum hemorrhage. It is an effective, simple and replicable technique that enables the preservation of the reproductive potential, particularly relevant in young patients. This is the first report on the B-Lynch technique, at the international level, accounting the application of the technique with no difficulties and an appropriate control of hemorrhage.

 

References

(1) Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet 2006; 367(9516): 1066-74.
(2) American College of Obstetricians and Gynecologists. ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October 2006: postpartum hemorrhage. Obstet Gynecol 2006; 108(4): 1039-47.
(3) Royal College of Obstetricians and Gynaecologists. Postpartum Haemorrhage, Prevention and Management (Green-top 52). London: Royal College of Obstetricians and Gynaecologists, 2009.
(4) El-Hamamy E, B-Lynch C. A worldwide review of the uses of the uterine compression suture techniques as alternative to hysterectomy in the management of severe post-partum haemorrhage. J Obstet Gynaecol 2005; 25(2): 143-9.
(5) B-Lynch C, Coker A, Lawal AH, Abu J, Cowen MJ. The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported. Br J Obstet Gynaecol 1997; 104(3): 372-5.
(6) El-Hamamy E, Wright A, B-Lynch C. The B-Lynch suture technique for postpartum haemorrhage: a decade of experience and outcome. J Obstet Gynaecol 2009; 29(4): 278-83.
(7) B-Lynch C, Keith LG, Lalonde AB, Karoshi M. A textbook of postpartum hemorrhage: a comprehensive guide to evaluation, management and surgical intervention. London: Sapiens Publishing, 2006.
(8) Goojha CA, Case A, Pierson R. Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage. Fertil Steril 2010; 94(3): 1098.e1-5.
(9) Pechtor K, Richards B, Paterson H. Antenatal catastrophic uterine rupture at 32 weeks of gestation after previous B-Lynch suture. BJOG 2010; 117(7): 889-91.
(10) Professor Christopher B-Lynch (GORSL): website of the B-Lynch Surgical technique for the control of massive postpartum haemorrhage. Disponible en: http://www.cbl.uk.com/. Consulta: 1 agosto 2010.

Published

2010-09-30

How to Cite

1.
Scasso S, Laufer J, Sosa C, Verde E, Briozzo L, Alonso J. Conservative treatment in postpartum hemorrhage refractory to medical treatment: B-Lynch Suture. Rev. Méd. Urug. [Internet]. 2010 Sep. 30 [cited 2024 Sep. 7];26(3):172-7. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/423

Most read articles by the same author(s)

1 2 3 4 > >>