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Abstract
RÉSUMÉ
The B-Lynch suture is a form of suture compression used in obstetrics to perform mechanical compression on a sluggish uterus in response to severe postpartum haemorrhage. We present a case a 27-year-old Cameroonian woman, where general measures and medical treatment did not stop the bleeding. Surgical management succeeded by B-Lynch suture. After literature review, we suggest to practitioners, to think of performing B-lynch's suture before any possible radical surgery in case of postpartum haemorrhage due to uterine atony.
ABSTRACT
La suture B-Lynch ou procédure B-Lynch est une forme de suture de compression utilisée en gynécologie . Elle est utilisée pour comprimer mécaniquement un utérus atone souffrant d'une hémorragie de la délivrance sévère et permet d’éviter une chirurgie radicale qui compromet la fertilité future. Les auteurs présentent le cas d’une jeune femme de 27 as chez qui cette méthode a été appliquée avec succès après échec du traitement médical.
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References
- Service de Gynécologie Obstétrique - Université Paris 7 Diderot & Hôpital Lariboisière -2 rue Ambroise Paré - 75475 Paris cedex 10.
- WE Roberts. Emergent obstetric management of postpartum hemorrhage. Obstet Gynecol Clin North Am, 1995; 22: 283-302.
- Bield DR. Antepartum and postpartum hemorrhage. In : Shnider, Levinson, eds. Anesthesia for obstetrics . 2nd Ed. Baltimore : Williams & Wilkins ; 1987.
- Varner M. Obstetrics emergencies (postpartum haemorrhage). Crit Care Clin 1991; 7: 883–897.
- Grotegut CA, Larsen FW, Jones MR, Livingston E. Erosion of a B-Lynch suture through the uterine wall: a case report. The Journal of reproductive medicine. 2004;49(10):849-52.5.
- B-Lynch C. A worthy son of Sierra Leone; an inspiration to us. Awareness Times. November 2, 2006. Retrieved 1 October 2012.
- El-Hamamy, E; B-Lynch, C (2005). Journal of Obstetrics and Gynaecology, cited at Informa healthcare 25 (2): 143–149.
- 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. BJOG: An International Journal of Obstetrics & Gynaecology. 1997;104(3):372-5.
- Danforth DN, Gibbs RS. Danforth's obstetrics and gynecology: Lippincott Williams & Wilkins; 2008. p. 455.
- Studd J. Progress in obstetrics and gynaecology vol1. 2006. Elsevier Science Limited. p. 269.
- Saxena R. Tips and tricks in operative obstetrics and gynecology: JP Medical Ltd; 2011.
- Koh E, Devendra K, Tan LK, B-Lynch suture for the treatment of uterine atony. Singapore Med J 2009; 50(7): 693
References
Service de Gynécologie Obstétrique - Université Paris 7 Diderot & Hôpital Lariboisière -2 rue Ambroise Paré - 75475 Paris cedex 10.
WE Roberts. Emergent obstetric management of postpartum hemorrhage. Obstet Gynecol Clin North Am, 1995; 22: 283-302.
Bield DR. Antepartum and postpartum hemorrhage. In : Shnider, Levinson, eds. Anesthesia for obstetrics . 2nd Ed. Baltimore : Williams & Wilkins ; 1987.
Varner M. Obstetrics emergencies (postpartum haemorrhage). Crit Care Clin 1991; 7: 883–897.
Grotegut CA, Larsen FW, Jones MR, Livingston E. Erosion of a B-Lynch suture through the uterine wall: a case report. The Journal of reproductive medicine. 2004;49(10):849-52.5.
B-Lynch C. A worthy son of Sierra Leone; an inspiration to us. Awareness Times. November 2, 2006. Retrieved 1 October 2012.
El-Hamamy, E; B-Lynch, C (2005). Journal of Obstetrics and Gynaecology, cited at Informa healthcare 25 (2): 143–149.
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. BJOG: An International Journal of Obstetrics & Gynaecology. 1997;104(3):372-5.
Danforth DN, Gibbs RS. Danforth's obstetrics and gynecology: Lippincott Williams & Wilkins; 2008. p. 455.
Studd J. Progress in obstetrics and gynaecology vol1. 2006. Elsevier Science Limited. p. 269.
Saxena R. Tips and tricks in operative obstetrics and gynecology: JP Medical Ltd; 2011.
Koh E, Devendra K, Tan LK, B-Lynch suture for the treatment of uterine atony. Singapore Med J 2009; 50(7): 693