B-Lynch Brace Suturing in primary post-partum hemorrhage during cesarean section.
Primary atonic post-partum hemorrhage during lower segment cesarean section, which was not controlled by ecbolics--oxytocin, methylergometrine, 15-methyl-prostaglandinF2alpha--was managed by applying a B-Lynch Brace Suture. The test of potential efficacy was the control of hemorrhage by bimanual uterine compression. Six primigravida patients at their term gestation, who underwent emergency cesarean section, all except one under spinal anesthesia, received this type of suture. Interestingly, in every case hemorrhage was controlled successfully with the compression suture. None of them received blood or blood products transfusions or developed disseminated intravascular coagulopathy. Postoperative recovery was good and all patients are in follow-up to assess their future reproductive activity. B-Lynch Brace Suturing is an invaluable procedure for the control of atonic primary post-partum hemorrhage following cesarean delivery.
Pal
Manidip
M
Vivekananda Institute Of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, India. manideep2b@yahoo.com
Biswas
Asok Kumar
AK
Bhattacharya
Sudhindra Mohan
SM
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010120:Oxytocics / Q000627:therapeutic use; D006473:Postpartum Hemorrhage / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques; D016896:Treatment Outcome; D014593:Uterine Inertia / Q000150:complications / Q000188:drug therapy / Q000601:surgery*
D010120:Oxytocics