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b lynch suture

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https://www.readbyqxmd.com/read/27892433/efficacy-of-prophylactic-b-lynch-suture-during-lower-segment-caesarian-section-in-high-risk-patients-for-atonic-postpartum-haemorrhage
#1
M Vijayasree
Background Postpartum Haemorrhage causes significant maternal mortality and morbidity all over the world. Active management of the third stage of labour with oxytocics is come into practice. If postpartum haemorrhage is anticipated conservative surgical procedures like B-lynch suture is being applied. Objective To evaluate the effect of elective B-Lynch suture in preventing atonic postpartum haemorrhage during emergency caesarian section with high risk factors for atonicity. Method Forty antenatal women undergoing emergency caesarean section with risk factors for atony of the uterus were selected in our study...
January 2016: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/27567670/uterine-salvage-management-for-atonic-postpartum-hemorrhage-using-modified-lynch-suture
#2
M El-Sokkary, K Wahba, Y El-Shahawy
BACKGROUND: To assess the effectiveness of the new modified technique in order to control bleeding in women presenting with atonic, flabby uterus compared to the most commonly described technique of classic B-Lynch suture. METHOD: This study included 160 women of uncontrolled atonic postpartum hemorrhage delivered by cesarean section at Ain Shams University Maternity Hospital between January 2013 and October 2015. Participants were randomly assigned following simple randomization procedures (computerized random numbers) and divided into two groups...
2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27405790/is-there-yet-a-role-for-internal-iliac-artery-ligation-in-obstetric-hemorrhage-with-the-current-gain-in-popularity-of-other-uterus-sparing-techniques
#3
Baris Kaya, Zeki Damarer, Korkut Daglar, Orhan Unal, Amr Soliman, Onur Guralp
PURPOSE: To evaluate the success rates and subsequent fertility outcomes of internal iliac artery ligation (IIAL) in uterine atony (primary ligated and secondary added to other uterus sparing techniques), retroperitoneal hematoma, and placenta adherent abnormalities. MATERIAL AND METHODS: Fifty two women who underwent IIAL for different causes of postpartum hemorrhage were retrospectively evaluated. RESULTS: Among 26 women with intractable uterine atony, 12 had primary, and 14 secondary IIAL, due to ongoing bleeding following the B-Lynch suture or the Bakri balloon tamponade...
August 18, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27354921/successful-management-of-two-cases-of-placenta-accreta-and-a-literature-review-use-of-the-b-lynch-suture-and-bilateral-uterine-artery-ligation-procedures
#4
Maliheh Arab, Behnaz Ghavami, Samaneh Saraeian, Samaneh Sheibani, Fatemeh Abbasian Azar, Seyed-Mostafa Hosseini-Zijoud
INTRODUCTION: Placenta accreta is an increasingly common complication of pregnancy that can result in massive hemorrhage. CASE PRESENTATION: We describe two cases of placenta accreta, with successful conservative management in a referral hospital in Tehran, Iran. In both cases, two procedures were performed: compression suture (B-Lynch) and a perfusion-decreasing procedure (bilateral uterine artery ligation). We also present the results of a narrative literature review...
April 2016: Iranian Red Crescent Medical Journal
https://www.readbyqxmd.com/read/27328508/short-interpregnancy-interval-after-b-lynch-uterine-compression-suture-a-case-report
#5
A Nishikawa, S Matsuzaki, K Mimura, T Kanagawa, T Kimura
PURPOSE: The influence of the B-Lynch suture technique on subsequent fertility and pregnancy outcomes is not clear. In the present report, the authors describe the case of a very short interpregnancy interval following the successful placement of a B-lynch suture and discuss the associated problems. MATERIALS AND METHODS: A 33-year-old-woman underwent cesarean section after undergoing artificial induction of labor and subsequent atonic postpartum hemorrhage. Placement of a B-Lynch brace suture successfully stopped the bleeding and preserved the uterus...
2016: Clinical and Experimental Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27207982/antithrombin-deficiency-in-pregnancy
#6
Shivani Durai, Lay Kok Tan, Serene Lim
We present a case of a 39-year-old, gravida 3 para 2, Chinese female with a history of inherited type 1 Antithrombin deficiency and multiple prior episodes of venous thromboembolism. She presented at 29+4 weeks' gestation with severe pre-eclampsia complicated by haemolysis, elevated liver enzymes and low platelet (HELLP) syndrome. She subsequently underwent an emergency caesarean section for non-reassuring fetal status, which was complicated by postpartum haemorrhage secondary to uterine atony, requiring a B-Lynch suture intraoperatively...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/26993516/reply-to-bakri-balloon-vs-b-lynch-suture-as-hemostatic-procedures-for-atonic-bleeding-clarifications-and-concerns
#7
COMMENT
Baris Kaya
No abstract text is available yet for this article.
May 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26969649/bakri-balloon-vs-b-lynch-suture-as-hemostatic-procedures-for-atonic-bleeding-clarification-and-concerns
#8
COMMENT
Shigeki Matsubara
No abstract text is available yet for this article.
May 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26781261/which-uterine-sparing-technique-should-be-used-for-uterine-atony-during-cesarean-section-the-bakri-balloon-or-the-b-lynch-suture
#9
Baris Kaya, Onur Guralp, Abdullah Tuten, Orhan Unal, Melih Ozgur Celik, Askın Dogan
PURPOSE: To evaluate various aspects of two popular uterine sparing techniques, the B-Lynch uterine compression suture and Bakri balloon tamponade, in severe postpartum hemorrhage (PPH). METHODS: 21 women who underwent the Bakri balloon procedure and 24 women who underwent the B-Lynch suture as primary uterus-sparing methods, due to PPH not responding to medical treatment, were retrospectively evaluated. RESULTS: The success rates of the B-Lynch procedure and the Bakri balloon were 79...
September 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/26268406/-analysis-of-emergency-obstetric-hysterectomy-the-change-of-indications-and-the-application-of-intraoperative-interventions
#10
Jing Chen, Hong Cui, Quan Na, Qiuling Li, Caixia Liu
OBJECTIVE: To investigate the change of indications of emergency obstetric hysterectomy and the clinical application of intraoperative interventions. And to provide evidence for prevention of hysterectomy and improvement of obstetric quality. METHODS: Clinical data were collected from 97 patients who received emergency obstetric hysterectomy at Shengjing Hospital of China Medical University between January 1st, 2004 and December 31st, 2013. The patients were divided into two groups by the time point of January 1st, 2009: the first group was cases treated between January 1st, 2004 and December 31st, 2008, while the second group was cases treated between January 1st, 2009 and December 31st, 2013...
March 2015: Zhonghua Fu Chan Ke za Zhi
https://www.readbyqxmd.com/read/26105345/pp022-the-haemostatic-suture-technique-of-b-lynch-may-be-an-alternative-to-control-uterine-hemorrhage-associated-with-hypertensive-disorders
#11
H Korkes, L G Oliveira, E Watanabe, T T Aoki, C L Ramos, G Nagahama, R Marques, C Negrao, V Denise, N Sass
INTRODUCTION: Postpartum haemorrhage is an important cause of maternal morbidity and mortality, uterine atony being responsible for most of the cases. Hypertensive disorders are supposed to increase the possibility of such complications, mainly when complicated by "abruptio placentae". The classical treatments for postpartum haemorrhage have been based on medications like oxytocin and misoprostol, but more recently a haemostatic uterine suture developed by Christopher B-Lynch has been indicated...
July 2012: Pregnancy Hypertension
https://www.readbyqxmd.com/read/25873974/alternate-sequential-suture-tightening-a-novel-technique-for-uncontrolled-postpartum-hemorrhage
#12
Sharda Brata Ghosh, Y M Mala
Objective. The most commonly described technique of modified B-Lynch suture may not be suitable for all the patients presenting with flabby, atonic uterus. Study Design. A retrospective analysis of twelve patients with uncontrolled postpartum haemorrhage, who underwent this procedure from March 2007 to September 2012, was conducted. In this novel technique, sutures are passed in the lower uterine segment and are tightened alternately to control uterine bleeding. Results. Average duration of the procedure was 4 minutes (range 2-7 minutes)...
2015: Obstetrics and Gynecology International
https://www.readbyqxmd.com/read/25864282/a-different-approach-to-placenta-previa-accreta-intrauterine-gauze-compress-combined-b-lynch-uterine-compression-suture
#13
M Kaplanoğlu, D K Kaplanoğlu, O Koyuncu
OBJECTIVE: To retrospectively evaluate the effectiveness of intrauterine gauze compress combined B-Lynch uterine compression suture in placenta previa accreta cases. MATERIALS AND METHODS: Five patients who experienced postpartum hemorrhage (PPH) due to placenta previa accreta between January 2009 and March 2013 in the present clinics, who were irresponsive to medical therapy, and that had applied intrauterine gauze compress combined B-Lynch uterine compression suture were analyzed retrospectively...
2015: Clinical and Experimental Obstetrics & Gynecology
https://www.readbyqxmd.com/read/25331482/fertility-and-pregnancy-outcomes-following-b-lynch-sutures-for-post-partum-hemorrhage
#14
Mari Tadakawa, Junichi Sugawara, Masatoshi Saito, Hidekazu Nishigori, Hiroki Utsunomiya, Satoru Nagase, Hideki Tokunaga, Michiyo Kurakata-Nakamura, Takashi Sugiyama, Nobuo Yaegashi
AIM: The aim of this study was to investigate the long-term fertility prognosis after B-Lynch sutures for post-partum hemorrhage (PPH). METHODS: A retrospective observational study was conducted on patients who underwent B-Lynch sutures in our hospital between 2005 and 2010. Patient data was collected from hospital records. Information regarding subsequent pregnancies and menstrual complications were obtained by posted questionnaires and telephone interviews with patients who avoided hysterectomy...
April 2015: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/25315382/b-lynch-uterine-compression-sutures-in-the-conservative-surgical-management-of-uterine-atony
#15
Baris Kaya, Abdullah Tuten, Korkut Daglar, Murat Onkun, Seyhun Sucu, Askin Dogan, Orhan Unal, Onur Guralp
AIM: To evaluate the success rate and possible complications of the B-Lynch uterine compression sutures in women who suffered from postpartum uterine atony unresponsive to medical treatment. MATERIALS AND METHODS: A total of 36 women who were managed with the B-Lynch suture, with or without additional surgical procedures following uterine atony unresponsive to medical treatment, were evaluated retrospectively. RESULTS: Sixteen women were primarily managed with the B-Lynch compression sutures, and 11 women had the B-Lynch compression sutures following failure of achievement of hemostasis by ligation of uterine artery alone (n = 4), or uterine artery plus uterine branch of ovarian artery (n = 7)...
May 2015: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/25277790/appropriate-second-line-therapies-for-management-of-severe-postpartum-hemorrhage
#16
Ying Zhao, Yunping Zhang, Zhao Li
OBJECTIVE: To explore appropriate second-line therapies for management of severe postpartum hemorrhage at cesarean delivery. METHODS: A retrospective study was done of 87 women who underwent cesarean delivery and received uterotonics after placental separation at the Beijing Haidian Maternal and Child Health Hospital, China, between 2009 and 2013. Group 1 (n=52) included patients with 500-700 mL of blood loss before application of intrauterine gauze tamponade or B-Lynch suture as second-line therapy, while group 2 (n=35) included patients with blood loss of more than 700 mL before application of either gauze tamponade or B-Lynch suture...
November 2014: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/25175111/removable-uterine-compression-sutures-for-postpartum-haemorrhage
#17
Z W Zhang, C Y Liu, N Yu, W Guo
In 1997, B-Lynch and colleagues introduced the B-Lynch uterine compression suture for postpartum haemorrhage. Since then, various uterine compression sutures have been used and postpartum hysterectomy has been avoided in many women. However, some complications have emerged in years. In this article we discuss two types of uterine compression sutures in which stitches can be removed. The procedures have been successfully applied with no problems and no observed complications to date. This is a novel concept, with the potential to reduce morbidity related to compression sutures, but needs further evaluation...
February 2015: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/25162256/subsequent-pregnancy-outcome-after-b-lynch-suture-placement
#18
Alison D Cowan, Emily S Miller, William A Grobman
OBJECTIVE: To evaluate whether use of the B-Lynch suture is associated with subsequent adverse pregnancy outcomes. METHODS: This is a cohort study of women who experienced postpartum hemorrhage between January 2000 and June 2010 and had a subsequent pregnancy at a single university hospital. Women who had postpartum hemorrhage and B-Lynch suture were compared with those complicated by postpartum hemorrhage but no B-Lynch suture placement. The primary outcome was a composite adverse outcome related to placentation abnormalities and included placenta previa, placenta accreta, preeclampsia, preterm birth, or a small-for-gestational-age neonate...
September 2014: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25019484/does-a-postpartum-hemorrhage-patient-safety-program-result-in-sustained-changes-in-management-and-outcomes
#19
Brett D Einerson, Emily S Miller, William A Grobman
We sought to determine whether the introduction of a postpartum hemorrhage (PPH) safety program was associated with changes in clinical practice and outcomes, and to examine whether these changes were sustained over time. In August 2008, a multidisciplinary PPH patient safety program was implemented at our single tertiary care hospital. We performed a cohort study of all women with PPH from August 2007 through December 2011. Changes in clinical practice and outcomes were compared before and after the intervention...
February 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/24996879/-risk-of-uterine-synechiae-following-uterine-compression-sutures-during-postpartum-haemorrhage
#20
A Jamard, M Turck, A Chéret-Benoist, M Dreyfus, G Benoist
OBJECTIVES: Uterine compression sutures are highly successful conservative surgical techniques used to treat severe postpartum haemorrhage. These methods can induce subsequent uterine synechiae. To determine this risk of synechiae after conservative uterine compression sutures, which may induce further fertility problems. PATIENTS AND METHODS: We retrospectively reviewed the medical and pathological records of the patients who underwent uterine compression sutures for severe postpartum haemorrhage between January 2003 and March 2013 in a French University Hospital...
October 2014: Gynécologie, Obstétrique & Fertilité
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