Uterine compression sutures for post-partum bleeding with atony; modification of the B-Lynch suture

被引:15
|
作者
Marasinghe, Jeevan Prasanga [1 ]
Condous, George [2 ]
机构
[1] De Soyza Hosp Women, Professorial Obstet & Gynaecol Unit, Colombo, Sri Lanka
[2] Univ Sydney, Nepean Hosp, Nepean Clin Sch, Early Pregnancy & Adv Endosurg Unit, Sydney, NSW 2006, Australia
关键词
post-partum haemorrhage; uterine atony; uterine compression suture; TAMPONADE TEST; HEMORRHAGE; MANAGEMENT; HYSTERECTOMY;
D O I
10.1111/j.1479-828X.2008.00936.x
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We have described a modification of the B-Lynch uterine compression suture which is simple and effective. This technique apposes the anterior and posterior uterine walls, obliterating the cavity and thereby provides effective control of post-partum haemorrhage as a result of uterine atony. It comprises of vertical compression sutures and is distinct from B-Lynch and Haymen's suture by having an additional firm puncture just below the uterine fundus. This means that the suture is transfixed at the uterine fundus, thus eliminating the risk of the sutures sliding off at the uterine fundus.
引用
收藏
页码:67 / 70
页数:4
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