Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta.
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.
Shahin
Ahmed Y
AY
Department of Obstetrics and Gynecology, Women's Health Centre, Assiut University, Egypt. Ahmed.Shahin@web.de
Farghaly
Tarek A
TA
Mohamed
Safwat A
SA
Shokry
Mahmoud
M
Abd-El-Aal
Diaa-Eldeen M
DE
Youssef
Mohammed A
MA
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*