title: Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta.
abstract: OBJECTIVE
  To assess the effectiveness of bilateral uterine artery ligation followed by B-Lynch compression suturing in women with atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta.
  
  
  METHODS
  This protocol was followed in 26 women undergoing cesarean delivery for placenta accreta.
  
  
  RESULTS
  Two women died from disseminated intravascular coagulopathy. In the remaining 24 women, placental remnants completely disappeared within 8 months and ovulation resumed after a mean+/-SD of 51.6+/-3.2 days. Moreover, 18 women (75%) became pregnant within 12 months.
  
  
  CONCLUSIONS
  Atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta can be safely controlled by bilateral uterine artery ligation followed by B-Lynch compression suturing in women who desire to remain fertile.
authors: Department of Obstetrics and Gynecology, Women's Health Centre, Assiut University, Egypt. Ahmed.Shahin@web.de
authors: Ahmed Y
authors: AY
authors: Shahin
authors: Tarek A
authors: TA
authors: Farghaly
authors: Safwat A
authors: SA
authors: Mohamed
authors: Mahmoud
authors: M
authors: Shokry
authors: Diaa-Eldeen M
authors: DE
authors: Abd-El-Aal
authors: Mohammed A
authors: MA
authors: Youssef
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008026:Ligation; D010921:Placenta Accreta / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D011446:Prospective Studies; D013536:Suture Techniques; D055988:Uterine Artery / Q000601:surgery*