B-Lynch suture for postpartum hemorrhage

被引:55
作者
Ferguson, JE [1 ]
Bourgeois, FJ [1 ]
Underwood, PB [1 ]
机构
[1] Univ Virginia, Sch Med, Dept Obstet & Gynecol, Charlottesville, VA 22906 USA
关键词
D O I
10.1016/S0029-7844(99)00590-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Background: Postpartum hemorrhage is a major contributor to maternal morbidity and mortality. Numerous medical and surgical therapies have been used, but none has been uniformly successful. Case: Two women with postpartum hemorrhage due to uterine atony after cesarean for twins are presented. Neither responded to medical management. In the first subject, O'Leary uterine artery ligation and utero-ovarian branch ligations were done without benefit. The B-Lynch suture immediately sustained correction of hemorrhage in both subjects. Magnetic resonance imaging and hysterosalpingogram after the first case showed no uterine defects. Conclusion: The B-Lynch suture might be a valuable addition to the surgical treatment of postpartum hemorrhage due to uterine atony. (Obstet Gynecol 2000;95:1020-2, (C) 2000 by The American College of Obstetricians and Gynecologists.).
引用
收藏
页码:1020 / 1022
页数:3
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