title: Fertility after "only B-Lynch" suture: a case report and literature review.
abstract: OBJECTIVE
  A new fertility assessment after a B-Lynch suture without a concomitant uterine devascularization is proposed.
  
  
  METHODS
  The case of a 37-year-old woman who experienced postpartum hemorrhage due to uterine atony during cesarean delivery of the previous pregnancy is reported. A B-Lynch brace suturing technique, not associated to any other hemostatic surgical procedure, was carried out. One year later and after an uncomplicated pregnancy of 39 weeks, the patient delivered a healthy infant by an elective cesarean section. Only omental adhesions were found on the anterior surface of the uterus as a consequence of the previous B-Lynch suture.
  
  
  CONCLUSIONS
  The B-Lynch hemostatic surgical procedure, alone, does not seem to have a negative impact on fertility. Additional clinical evidences in a greater case-series of patients are needed to assess the value of the method for fertility preservation.
authors.affiliation: Department of Obstetrics and Gynecology, University of Perugia, Perugia, Italy. gerber@unipg.it
authors.forename: Sandro
authors.initials: S
authors.lastname: Gerli
authors.forename: Alessandro
authors.initials: A
authors.lastname: Favilli
authors.forename: Claudia
authors.initials: C
authors.lastname: Giordano
authors.forename: Silvia
authors.initials: S
authors.lastname: Pericoli
authors.forename: Elena
authors.initials: E
authors.lastname: Laurenti
authors.forename: Gian Carlo
authors.initials: GC
authors.lastname: Di Renzo
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007247:Infertility, Female / Q000517:prevention & control*; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D013536:Suture Techniques