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Bilateral uterine artery ligation plus B‐Lynch procedure for atonic postpartum hemorrhage with placenta accreta
Author(s) -
Shahin Ahmed Y.,
Farghaly Tarek A.,
Mohamed Safwat A.,
Shokry Mahmoud,
AbdElAal DiaaEldeen M.,
Youssef Mohammed A.
Publication year - 2010
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2009.08.035
Subject(s) - medicine , placenta accreta , uterine artery , ligation , obstetrics , postpartum bleeding , hysterectomy , placenta , tubal ligation , surgery , pregnancy , gynecology , fetus , gestation , population , genetics , environmental health , family planning , research methodology , biology
Objective To assess the effectiveness of bilateral uterine artery ligation followed by B‐Lynch compression suturing in women with atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta. Method This protocol was followed in 26 women undergoing cesarean delivery for placenta accreta. Results Two women died from disseminated intravascular coagulopathy. In the remaining 24 women, placental remnants completely disappeared within 8 months and ovulation resumed after a mean ± SD of 51.6 ± 3.2 days. Moreover, 18 women (75%) became pregnant within 12 months. Conclusion Atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta can be safely controlled by bilateral uterine artery ligation followed by B‐Lynch compression suturing in women who desire to remain fertile.