What suture is used for B-Lynch?
B-Lynch compression brace suture technique is one of the established conservative surgical procedures which are done for atonic postpartum haemorrhage. B-Lynch is a uterine compression suture, which apposes the anterior and posterior wall through a pair of vertical brace sutures which are put around the uterus.
What is an O’Leary stitch?
Bilateral ligation of the uterine vessels (O’Leary stitch) is the preferred approach for controlling PPH from laceration of the uterine artery or branches of the utero-ovarian artery.
What are the 4 most common causes of postpartum hemorrhage?
The Four T’s mnemonic can be used to identify and address the four most common causes of postpartum hemorrhage (uterine atony [Tone]; laceration, hematoma, inversion, rupture [Trauma]; retained tissue or invasive placenta [Tissue]; and coagulopathy [Thrombin]).
What are uterine compression sutures?
Two or three rows of these sutures are placed in each direction to completely envelope and compress the uterus. Cho et al described another technique, where multiple square sutures using a straight number 7 or 8 needle and number 1 chromic catgut is used to approximate the anterior and posterior uterine walls.
Who invented the B-Lynch suture?
It was developed by Christopher B-Lynch, a consultant obstetrician and gynaecological surgeon based at Milton Keynes General Hospital, Milton Keynes, Buckinghamshire, England. B-Lynch was born in 1947 in Sierra Leone with the birth name of Christopher Balogun-Lynch. The technique was first described in 1997.
How do you tie the uterine artery?
Uterine artery ligation The uterus is grasped and tilted to expose the vessels coursing through the broad ligament immediately adjacent to the uterus. Ideally, place the stitch 2 cm below the level of a transverse lower uterine incision site. A large atraumatic (round) needle is used with a heavy absorbable suture.
What is uterine Devascularization?
Uterine devascularization is a surgical procedure that is used in management of major postpartum hemorrhage, avoiding the need for hysterectomy in young women and its undesir- able effects: sterility, secondary amenorrhea, and psycholog- ical trauma.
What is a Bakri balloon used for?
The Bakri balloon is used for temporary control or reduction of postpartum hemorrhage when conservative management of uterine bleeding is warranted, after bleeding from genital tract lacerations and retained product of conception has been excluded.
What is Pereira stitch?
Pereira stitch. Pereira described a technique in which a series of transverse and longitudinal sutures of a delayed absorbable multifilament suture are placed around the uterus via a series of bites into the submucosal myometrium.
What is a B Lynch suture?
B-Lynch Suture The B-Lynch suture is a form of compression suture used to mechanically compress an atonic uterus in the face of severe postpartum hemorrhage. To simulate a B-Lynch compression suture, we use neoprene models.
How do you perform a B-Lynch suture test?
Test for the potential efficacy of the B-Lynch suture before performing the procedure The patient is placed in the Lloyd Davies or semi-lithotomy position (frog leg). An assistant stands between the patient’s legs and intermittently swabs the vagina to determine the presence and extent of the bleeding.
What are the possible complications of B-Lynch suture application for cesarean section?
B-Lynch suture application or any modification of it (see below) without hysterotomy or re-opening of the Cesarean section wound runs the potential risk of secondary postpartum hemorrhage. Therefore, confirmation that the uterine cavity is completely empty is essential.
Why is hysterotomy necessary for the application of B-Lynch suture?
Furthermore, hysterotomy ensures that the correct application of the suture provides maximum and even distribution of the compressive effect during and after application of the B-Lynch suture (Figures 2 and 3).