B-Lynch: A Technique for Uterine Conservation or Deformation? A Case Report with Literature Review

• Main Authors: Jasmina Begum, P. Pallave, Seetesh Ghose
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2014-04-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: postpartum haemorrhage; b-lynch suture; synechia; fertility
• Online Access: https://jcdr.net/articles/PDF/4284/8139_E(C)_F(T)_PF1(PAK)_PFA(P)_PF2(PN).pdf

Postpartum haemorrhage is a leading cause of global maternal mortality and morbidity, accounting for 25-30% of all maternal deaths, and 75-90% of these casualties result from uterine atony. Uterine compressive sutures are a well established measure for control of haemorrhage following atonic postpartum haemorrhage, when medical and non-medical interventions fail. Here, we are reporting a case of secondary infertility in a 24-year-old lady who had undergone an elective caesarean section for central placenta previa in her first pregnancy. She had massive postpartum haemorrhage, for which B-Lynch suture and vessel ligation were done. Subsequently, she failed to conceive for 4 years. This was because of severe pelvic adhesions and uterine deformation which were found intraoperatively, as a consequence of previous use of B-Lynch suture. As no definitive treatment could be offered to her, we suggested her to go for adoption.