title: Novel modification of B-Lynch uterine compression sutures for management of atonic postpartum hemorrhage: VV uterine compression sutures.
abstract: OBJECTIVE
  The aim of this study was to demonstrate a novel modification of uterine compression sutures for use in women with primary postpartum hemorrhage and to evaluate its effectiveness.
  
  
  METHODS
  This was a prospective observational study. Nineteen patients with atonic postpartum hemorrhage were subjected to the novel VV uterine compression sutures at the time of cesarean delivery.
  
  
  RESULTS
  The procedure was successful in 18 out of 19 women (94.7%) in controlling the bleeding and preserving the patient's uterus. Only one patient required supravaginal hysterectomy.
  
  
  CONCLUSIONS
  VV compression sutures comprise an easy, safe and effective procedure that can be applied in cases of atonic postpartum hemorrhage.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
authors.forename: Abdel-Aziz
authors.initials: AA
authors.lastname: El-Refaeey
authors.forename: Ahmed
authors.initials: A
authors.lastname: Gibreel
authors.forename: Muhammad
authors.initials: M
authors.lastname: Fawzy
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D011446:Prospective Studies; D013536:Suture Techniques; D013537:Sutures; D014593:Uterine Inertia / Q000601:surgery*; D055815:Young Adult
keywords: compression; hemorrhage; postpartum; sutures