title: B-lynch: a technique for uterine conservation or deformation? A case report with literature review.
abstract: Postpartum haemorrhage is a leading cause of global maternal mortality and morbidity, accounting for 25-30% of all maternal deaths, and 75-90% of these casualties result from uterine atony. Uterine compressive sutures are a well established measure for control of haemorrhage following atonic postpartum haemorrhage, when medical and nonmedical interventions fail. Here, we are reporting a case of secondary infertility in a 24-year-old lady who had undergone an elective caesarean section for central placenta previa in her first pregnancy. She had massive postpartum haemorrhage, for which B-Lynch suture and vessel ligation were done. Subsequently, she failed to conceive for 4 years. This was because of severe pelvic adhesions and uterine deformation which were found intraoperatively, as a consequence of previous use of B-Lynch suture. As no definitive treatment could be offered to her, we suggested her to go for adoption.
authors: Assistant Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute , Puducherry, India .
authors: Jasmina
authors: J
authors: Begum
authors: Associate Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute , Puducherry, India .
authors: P
authors: P
authors: Pallave
authors: Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute , Puducherry, India .
authors: Seetesh
authors: S
authors: Ghose
keywords: B-Lynch suture; Fertility; Postpartum haemorrhage; Synechia