B-Lynch: A Technique for Uterine Conservation or Deformation?
A Case Report with Literature Review
Published: April 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.4284
Jasmina Begum, P. Pallave, Seetesh Ghose
1. Assistant Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute, Puducherry, India.
2. Associate Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute, Puducherry, India.
3. Professor, Department of Obstetrics and Gynaecology, Mahatama Gandhi Medical College and Research Institute, Puducherry, India.
Correspondence
Dr. Jasmina Begum,
Assistant Professor, Department of Obstetrics & Gynaecology, Mahatama Gandhi Medical College and Research Institute,
Pillaiyarkuppam, Puducherry-607402, India.
Phone: 919443392737, E-mail: jasminaaly@gmail.com
Postpartum haemorrhage is a leading cause of global maternal mortality and morbidity, accounting for 25-30% of all maternal deaths, and 75-90% of these casualties result from uterine atony. Uterine compressive sutures are a well established measure for control of haemorrhage following atonic postpartum haemorrhage, when medical and non-medical interventions fail. Here, we are reporting a case of secondary infertility in a 24-year-old lady who had undergone an elective caesarean section for central placenta previa in her first pregnancy. She had massive postpartum haemorrhage, for which B-Lynch suture and vessel ligation were done. Subsequently, she failed to conceive for 4 years. This was because of severe pelvic adhesions and uterine deformation which were found intraoperatively, as a consequence of previous use of B-Lynch suture. As no definitive treatment could be offered to her, we suggested her to go for adoption.
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