Effectiveness of B-lynch Suture in Treatment and Prevention of Postpartum Hemorrhage

  Objective  To evaluate the effectiveness of B-lynch suture in treatment and prevention of postpartum hemorrhage.

  Methods  The clinical data of 20 Cesarean section cases who were admitted to our department from January 2006 to January 2012 were retrospectively analyzed. B-lynch suture was placed in 19 patients due to postpartum hemorrhage and in 1 patient for preventing massive hemorrhage with oxytocin and prostaglandins contraindications. The effectiveness, uterine retracting, and other complications were investigated during the follow-up.

  Results  The amount of bleeding before and 24 hours after B-lynch suture were 200-4800 ml (median:900 ml) and 50-200 ml (median:100 ml), respectively. Good hemostatic effect was achieved in 17 patients immediately after the suture procedure. In 3 severe cases, the blood loss declined after the procedure, while other interventions including uterine artery ligation and/or embolization were also applied. All patients recovered well after surgery and during the postpartum follow-up. No specific complication was found.

  Conclusion  B-lynch suture is a simple and effective surgical technique that can be used to manage postpartum hemorrhage and avoid hysterectomy.