[Use of the B-Lynch suture technique in postpartum hemorrhage].
BACKGROUND
Serious postpartum haemorrhage occurs in approximately 1.4% of all deliveries in Norway and may result in hysterectomy. Stepwise devascularisation and hysterectomy are technically difficult and time consuming. A simple suture technique, B-Lynch suture, has recently been introduced, by which atonic postpartum haemorrhage may be controlled and hysterectomy avoided.


RESULTS
We have used the B-Lynch technique in five patients with serious postpartum uterine atonia and haemorrhage. In all patients serious bleeding and hysterectomy were avoided. Three of the patients are described in detail, one with failed induction of labour resulting in Caesarean section, one with placenta previa, and one with prolonged normal vaginal delivery.


CONCLUSIONS
If performed early, the B-Lynch suture technique is less mutilating to the woman; it may prevent excessive blood loss and is probably beneficial for the patient's future fertility. It is easy to perform in Caesarean sections and can be adopted in vaginal deliveries.
Wergeland
Håkon
H
Kyinnesenteret Ullevål universitetssykehus 0407 Oslo. hakon.wergeland@ulleval.no
Alagic
Edin
E
Løkvik
Bjarne
B
D000328:Adult; D005260:Female; D006801:Humans; D008488:Medical Illustration; D009129:Muscle Tonus; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques; D014599:Uterus / Q000503:physiopathology / Q000601:surgery
Bruk av B-Lynch-sutur ved blødning etter fødsel.