Ramírez-Cárdenas A, Solís-Trasancos H, García-Ruiz P, Ramírez-García JM, Sánchez-Marce EE

Language: Spanish
References: 7
Page: 471-476
PDF size: 624.71 Kb.

ABSTRACT

Backgrounds: 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.
Material and 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 uterineconserving techniques have failed.

REFERENCES

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6. El-Hamamy E, Wright A, B-Lynch C. The B-Lynch suture technique for postpartum haemorrhage: a decade of experience and outcome. J Obstet Gynaecol 2009;29:278-83.

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