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Combination of B‐Lynch brace suture and uterine artery embolization for atonic bleeding after cesarean section in a patient with placenta previa accreta
Author(s) -
Koyama Emi,
Naruse Katsuhiko,
Shigetomi Hiroshi,
Sado Toshiyuki,
Oi Hidekazu,
Kobayashi Hiroshi
Publication year - 2012
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 - 10.1111/j.1447-0756.2011.01699.x
Subject(s) - medicine , placenta previa , hysterectomy , placenta accreta , uterine artery embolization , vaginal bleeding , surgery , fibrous joint , embolization , obstetrics , pregnancy , placenta , fetus , genetics , biology
We report the case of a patient with placenta previa accreta. A 29‐year‐old multipara, who had previously undergone a cesarean section, was admitted to our hospital for vaginal bleeding. An emergency cesarean section was carried out at the 33rd week of gestation. Uterine bleeding was uncontrollable, and hence, hysterectomy was planned. However, before hysterectomy, B‐Lynch brace suture was carried out to control the massive bleeding; moreover, the suturing technique enabled uterine artery embolization to be carried out as an interventional radiological technique. A good postoperative course was observed, and thus, a secondary hysterectomy was not required. A combination of the B‐Lynch brace suture technique and uterine artery embolization may be an alternative treatment for emergency bleeding during cesarean section in patients with placenta previa accreta.