TY - JOUR
T1 - Uterine compression sutures
T2 - Surgical management of postpartum hemorrhage
AU - Hayman, R. G.
AU - Arulkumaran, S.
AU - Steer, P. J.
PY - 2002
Y1 - 2002
N2 - BACKGROUND: It has been estimated that worldwide, over 125,000 women die of postpartum hemorrhage each year. The traditional management of this condition includes the use of oxytocics, such as oxytocin, ergometrine, and prostaglandins, before proceeding to ligation of the internal iliac arteries and even hysterectomy. The B-Lynch technique is a surgical procedure that may be used to arrest postpartum hemorrhage resulting from uterine atony. CASES: This paper describes simple modifications of this technique that make this procedure less complex to perform. Three clinical case scenarios illustrate the context in which the sutures may be used. CONCLUSION: Compression sutures placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocic measures have failed. We suggest that the technique we have described is a simple procedure and should be tried before more complex interventions are used.
AB - BACKGROUND: It has been estimated that worldwide, over 125,000 women die of postpartum hemorrhage each year. The traditional management of this condition includes the use of oxytocics, such as oxytocin, ergometrine, and prostaglandins, before proceeding to ligation of the internal iliac arteries and even hysterectomy. The B-Lynch technique is a surgical procedure that may be used to arrest postpartum hemorrhage resulting from uterine atony. CASES: This paper describes simple modifications of this technique that make this procedure less complex to perform. Three clinical case scenarios illustrate the context in which the sutures may be used. CONCLUSION: Compression sutures placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocic measures have failed. We suggest that the technique we have described is a simple procedure and should be tried before more complex interventions are used.
UR - http://www.scopus.com/inward/record.url?scp=0036186275&partnerID=8YFLogxK
U2 - 10.1016/S0029-7844(01)01643-X
DO - 10.1016/S0029-7844(01)01643-X
M3 - Article
C2 - 11864681
AN - SCOPUS:0036186275
SN - 0029-7844
VL - 99
SP - 502
EP - 506
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 3
ER -