title: Which uterine sparing technique should be used for uterine atony during cesarean section? The Bakri balloon or the B-Lynch suture?
abstract: To evaluate various aspects of two popular uterine sparing techniques, the B-Lynch uterine compression suture and Bakri balloon tamponade, in severe postpartum hemorrhage (PPH).
  
  
  
  21 women who underwent the Bakri balloon procedure and 24 women who underwent the B-Lynch suture as primary uterus-sparing methods, due to PPH not responding to medical treatment, were retrospectively evaluated.
  
  
  
  The success rates of the B-Lynch procedure and the Bakri balloon were 79.1 and 80 %, respectively. The success rates of the B-Lynch + IIAL and the Bakri balloon + IIAL were 91.6 and 95 %, respectively. There was no significant difference in success rates, mean duration of time to stop bleeding, estimated blood loss, transfused packed red blood cells or mean duration of hospital stay between the B-Lynch and the Bakri balloon groups. The duration of operation was significantly longer in the Bakri balloon compared to the B-Lynch group (p = 0.01).
  
  
  
  In our study, the Bakri balloon and the B-Lynch suture had similar success rates in uterine atony during CS. The advantages of the B-Lynch suture include rapid application with no need for lithotomy position or extra material; whereas the Bakri balloon is less invasive and easier to learn, but more time consuming and expensive compared to the B-Lynch suture. We suggest that the B-Lynch suture may be preferred in uterine atony during CS in low resource settings; however, the less invasive Bakri balloon should be the first line in full resource settings. Further studies are needed to evaluate the advantages and disadvantages of the two methods.
authors.affiliation: Department of Obstetrics and Gynecology, Faculty of Medicine, Near East University, Lefkosa-TRNC, Mersin 10, Turkey. mdbariskaya@gmail.com.
authors.forename: Baris
authors.initials: B
authors.lastname: Kaya
authors.affiliation: Department of Obstetrics and Gynecology, Klinikum Oldenburg University Hospital, Oldenburg, Germany.
authors.forename: Onur
authors.initials: O
authors.lastname: Guralp
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Tuten
authors.affiliation: Department of Obstetrics and Gynecology, Sakarya University, Adapazarı/Sakarya, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Unal
authors.affiliation: Department of Anesthesiology and Clinical Care Medicine, Charité Universitätsmedizin, Berlin, Germany.
authors.forename: Melih Ozgur
authors.initials: MO
authors.lastname: Celik
authors.affiliation: Department of Obstetrics and Gynecology, Jena University, Jena, Germany.
authors.forename: Askın
authors.initials: A
authors.lastname: Dogan
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011247:Pregnancy; D012189:Retrospective Studies; D013536:Suture Techniques; D058738:Uterine Balloon Tamponade; D014593:Uterine Inertia / Q000601:surgery*; D014599:Uterus / Q000601:surgery*
keywords: B-Lynch suture; Bakri balloon; Cesarean section; Internal iliac artery ligation; Uterine atony