B-Lynch suture-an experience

Abstract

Objectives: To study the effectiveness of B-Lynch suture to control postpartum hemorrhage. To know the effect of this extreme degree of compression (produced by B-Lynch suture) on uterine anatomy three months after delivery. Method: B-Lynch suture (Classical/modified form) was applied in 75 cases. A No. 2 chromic catgut suture was used on a big size round body needle. During the placement of suture, patient was placed in frog-leg position to assess the compression effect of B-Lynch suture. In 62 cases (82.66%) B-Lynch suture was the only intervention. In 8 cases (10.66%) uterine arteries (O'Leary method) were also ligated and in five cases (6.66%) cervico-isthmic apposition suture was also applied in addition to B-Lynch suture. Result: Failure rate was 2.67%. Hysterectomy was required in two cases Conclusion: B-Lynch suture technique is a simple, effective, safe, life saving and fertility preserving method to control atonic postpartum hemorrhage.