The B‐Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported
Abstract
The B‐Lynch suturing technique (brace suture) may be particularly useful because of its simplicity of application, life saving potential, relative safety, and its capacity for preserving the uterus and thus fertility. Satisfactory haemostasis can be assessed immediately after application. If it fails, which has not yet been the case, other more radical surgical methods as mentioned in this paper and in the literature can be considered. The special advantage of this innovative technique is an alternative to major surgical procedures to control pelvic arterial pulse pressure or hysterectomy. This suturing technique has been successfully applied with no problems to date and no apparent complications.
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Uterine compressive and endouterine sutures are well established techniques for the control of haemorrhage following atonic PPH.
“Uterine compressive and endouterine sutures are well established techniques for the control of haemorrhage following atonic PPH.”
From Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green‐top Guideline No. 27a (2019) · cites this paper as [104]
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Placenta Praevia and Placenta Accreta: Diagnosis and Management: Green‐top Guideline No. 27a
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- Authors
- B‐Lynch, C., Coker, A., Lawal, A. H., Abu, J., & Cowen, M. J.
- Affiliations
- Milton Keynes Hospital (GB)
- Corresponding author
- B‐Lynch, Christopher
- ORCID
- Coker, Adeyemi
- Venue
- BJOG: An International Journal of Obstetrics & Gynaecology
- Publisher
- Wiley
- Published
- 1997-03
- Volume
- 104
- Issue
- 3
- Pages
- 372-375
- ISSN
- 0306-5456 (ISSN-L)
- 1470-0328
- 1471-0528
- OpenAlex
- W2050414842
- Cited by
- 722
- References
- 8
- Citations by year
- 2026: 19 · 2025: 14 · 2024: 18 · 2023: 28 · 2022: 32 · 2021: 36 · 2020: 27 · 2019: 41 · 2018: 33 · 2017: 29 · 2016: 38 · 2015: 26 · 2014: 31 · 2013: 35 · 2012: 31
- FWCI
- 6.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BJOG An International Journal of Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
- Health Sciences › Medicine › Hematology › Hemostasis and retained surgical items
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Keywords
- B-Lynch suture, postpartum hemorrhage, uterine artery ligation, uterine preservation, fertility preservation, hysterectomy alternative, hemostasis
- MeSH terms
- Abruptio Placentae, Adult, Female, Postpartum Hemorrhage, Humans, Placenta Previa, Pregnancy, Pregnancy Complications, Suture Techniques
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