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B‐Lynch Brace Suturing in primary post‐partum hemorrhage during cesarean section
Author(s) -
Pal Manidip,
Biswas Asok Kumar,
Bhattacharya Sudhindra Mohan
Publication year - 2003
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1046/j.1341-8076.2003.00122.x
Subject(s) - medicine , cesarean delivery , surgery , gestation , fibrous joint , brace , anesthesia , blood loss , post partum , pregnancy , mechanical engineering , genetics , engineering , biology
Primary atonic post‐partum hemorrhage during lower segment cesarean section, which was not controlled by ecbolics – oxytocin, methylergometrine, 15‐methyl‐prostaglandinF 2α – was managed by applying a B‐Lynch Brace Suture. The test of potential efficacy was the control of hemorrhage by bimanual uterine compression. Six primigravida patients at their term gestation, who underwent emergency cesarean section, all except one under spinal anesthesia, received this type of suture. Interestingly, in every case hemorrhage was controlled successfully with the compression suture. None of them received blood or blood products transfusions or developed disseminated intravascular coagulopathy. Postoperative recovery was good and all patients are in follow‐up to assess their future reproductive activity. B‐Lynch Brace Suturing is an invaluable procedure for the control of atonic primary post‐partum hemorrhage following cesarean delivery.