title: [Modified technique b-lynch compression suture with uterine atony].
abstract: BACKGROUND
  One of the leading causes of death in the worldwide is postpartum hemorrhage, one of the surgical resources is the use of uterine compression suture described by Christopher B-Lynch and some modifications of the technique.
  
  
  OBJECTIVE
  To review the effectiveness of the modified technique describd by B-Lynch in early postpartum hemorrhage secondary to uterine atony refractory to medical treatment.
  
  
  METHODS
  We performed a descriptive and case study of cases of uterine atony treated with the B-Lynch modified technique in our center between march 2012 to september 2013.
  
  
  RESULTS
  Hemorrhage was resolved in 21 patients. Obstetric hysterectomy was required in the remaining of two patient.
  
  
  CONCLUSIONS
  The B-Lynch modified technique by our group is effective, safe and rapid in the treatment of uterine atony. However, obstetric hysterectomy may be required as a last resort when all other uterine- conserving techniques have failed.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Ramírez-Cárdenas
authors.forename: Hernando
authors.initials: H
authors.lastname: Solís-Trasancos'
authors.lastname: Paola García-Ruiz
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Ramírez-García
authors.forename: Elvis Efraín
authors.initials: EE
authors.lastname: Sánchez-Marce
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D011312:Pressure; D013536:Suture Techniques; D014593:Uterine Inertia; D014599:Uterus / Q000601:surgery*; D055815:Young Adult