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Abstract


JOURNAL OF INTERNATIONAL MEDICAL RESEARCH AND HEALTH SCIENCES - Volume 1 Issue 1, (Apr-Jun, 2021)

Pages: 1-6

Ovarian necrosis of both ovaries with uterine ischemic changes following B-Lynch sutures: A rare complication and review of literature

Rajshree Dayanand Katke

Category: Obstetrics & Gynaecology

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Abstract:

Pospartum haemorrhage has been the leading direct cause of maternal morbidity and mortality. In 1997, B-Lynch initiated the use of uterine compression sutures for postpartum hemorrhage. Uterine compression sutures have accomplished hemostasis while retaining fertility in many women and thus their efficacy and security have been time-tested. Uterine compression sutures have helped to expressively reduce the number of obstetric hysterectomy. These uterine compression sutures can cause complication like hematometra, pyometra, Asherman’s syndrome, uterine necrosis .Each suture has both advantages as well as disadvantages and hence obstetricians must be aware of the fundamental characteristics of various sutures. In this case report, we explain the importance of knowing the proper surgical technique and the essence of anatomy, in order to prevent complications.

Keywords: B Lynch, postpartum hemorrhage, cesarean, ovarian necrosis, complications

References:

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[4] Sentilhes L, Gromez A, Razzouk K, Resch B, Verspyck E, Marpeau L. B-Lynch suture for massive persistent postpartum hemorrhage following stepwise uterine devascularization. Acta Obstet Gynec Scand. 2008; 87(10):1020-6.

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[8] B-Lynch C, Coker A, Lawal AH, Abu J, Cowen MJ. The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported. Br J Obstet Gynaecol. 1997; 104:372-5.

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DOI: 2021.1101

DOI URL: http://doi.org/10.53626/JIMRHS.2021.1101