Successful of the B-Lynch compression suture in the management of massive postpartum hemorrhage: case reports and review.
The authors describe three patients who developed massive primary postpartum hemorrhage and review the case reports. In two patients, primary postpartum hemorrhage was due to uterine atony, and in one patient it was due to atony and thrombophilia. In all three patients, excellent effect was achieved with hemorrhage reduction by a compression B-Lynch suture alone, with bimanual compression following medicamentous uterotonic therapy. B-Lynch suture is an efficient, safe, and simple method for the treatment of primary postpartum hemorrhage during cesarean section, which successfully reduces the number of urgent postpartum hysterectomies, also preserving subsequent fertility. In our opinion, the method should be included in the algorithm of primary postpartum hemorrhage management at all obstetric departments.
Habek
Dubravko
D
Department of Obstetrics, Osijek University Hospital, J. Huttlera 4, 31000, Osijek, Croatia. dubravko.habek@os.htnet.hr
Kulas
Tomislav
T
Bobić-Vuković
Mirna
M
Selthofer
Robert
R
Vujić
Bojana
B
Ugljarević
Margareta
M
D000328:Adult; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques; D016896:Treatment Outcome