2016, Number 12
Ginecol Obstet Mex 2016; 84 (12)
Mendoza-Reyes E, Sandoval García-Travesí FA, Reyes-Hernández MU, Veloz-Martínez MG, Hinojosa-Cruz JC
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ABSTRACTObjetive: To value the use of the B-Lynch suture modified by Dr. Edgar Mendoza Reyes in controlling trans-cesarean obstetric haemorrhage.
Material and Methods: Descriptive, transversal, retrospective study. Patients in which the modified B-Lynch suture was performed as a primary surgical procedure for trans-cesarean obstetric haemorrhage due to uterine atony unresponsive to medical initial treatment, in a third level Hospital during January 2007 to December 2013. Measures of central tendency were performed for the statistical analysis.
Results: 31 patients were identified during the study. The mean age of the patients were 26 years (±4.3). The duration of the surgical procedure was 72.6 minutes (±17.2), duration of the suture placement 3.4 minutes (3-7). The estimated bleeding was 1027mL (±92.0). The hospital stay after the procedure was 2.12 days (±0.3). The intervention was effective in 30 cases (96.7%); there were no complications associated or maternal deaths reported.
Conclusion: The modified B-Lynch uterine compression suture was effective as a primary surgical intervention on the management of trans-cesarean obstetric haemorrhage due to uterine atony.