title: Fertility after B-Lynch suture and hypogastric artery ligation.
abstract: OBJECTIVE
  To report a case of successful pregnancy after hypogastric artery ligation and the B-Lynch brace suturing technique.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Education and research hospital.
  
  
  METHODS
  A 22-year-old woman, whose first pregnancy was terminated by cesarean section owing to abruptio placenta and intrauterine fetal demise diagnosed at the 26th week of gestation, referred to our clinic for uterine atony.
  
  
  METHODS
  Hypogastric artery ligation and the B-Lynch brace suturing technique.
  
  
  METHODS
  Clinical pregnancy and live birth.
  
  
  RESULTS
  Two years after the surgery, the patient conceived spontaneously and delivered a healthy infant after an uneventful pregnancy.
  
  
  CONCLUSIONS
  This is the first reported case of successful pregnancy after hypogastric artery ligation and B-Lynch suturing technique. This life-saving therapeutic option for severe postpartum hemorrhage appears to be a safe procedure that does not impair subsequent fertility and pregnancy outcomes. The B-Lynch suturing technique seems to be simple and has the capability of preserving the uterus; therefore it may be considered as the first-line surgical treatment for uterine atony before considering hysterectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Haseki Education and Research Hospital, Istanbul, Turkey. muratapi@hotmail.com
authors.forename: Murat
authors.initials: M
authors.lastname: Api
authors.forename: Olus
authors.initials: O
authors.lastname: Api
authors.forename: Murat
authors.initials: M
authors.lastname: Yayla
mesh_terms: D000328:Adult; D005260:Female; D005298:Fertility; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008026:Ligation; D050498:Live Birth; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques / Q000295:instrumentation; D013537:Sutures; D014593:Uterine Inertia / Q000601:surgery; D014599:Uterus / Q000601:surgery*