A worldwide review of the uses of the uterine compression suture techniques as alternative to hysterectomy in the management of severe post-partum haemorrhage

@article{ElHamamy2005AWR,
  title={A worldwide review of the uses of the uterine compression suture techniques as alternative to hysterectomy in the management of severe post-partum haemorrhage},
  author={Essam El-Hamamy and Christopher B-Lynch},
  journal={Journal of Obstetrics and Gynaecology},
  year={2005},
  volume={25},
  pages={143 - 149}
}
Postpartum haemorrhage (PPH) is a worldwide problem. The historical background dates back to William Smelley's in the seventeenth century in his famous treaty of the theory and practice of midwifery in 1752. Changes in clinical factors and surgical expertise compel the modern day midwife and obstetrician to be vigilant in identifying risk factors and apply appropriate solution early. The recent confidential enquiry into maternal death (why mothers die (2000–2002)) identifies areas of… Expand
Uterine compression suture technique in the management of severe postpartum haemorrhage as an alternative to hysterectomy.
TLDR
Although this surgery requires a skillful and experienced obstetrician, the authors find it rather easy to perform and it is suggested to be applied in all cases of uterine atony when excessive bleeding cannot be stopped by other any other method except hysterectomy. Expand
Successful use of the B-Lynch uterine compression suture in treating intractable postpartum hemorrhage after cesarean delivery in Rajavithi Hospital.
  • Surasak Kaoiean
  • Medicine
  • Journal of the Medical Association of Thailand = Chotmaihet thangphaet
  • 2013
TLDR
The B-Lynch suture is an effective and safe surgical option for treatment of intractable postpartum hemorrhage with no apparent adverse outcomes and should be taught and applied as standard protocol for the management of PPH in the operating room. Expand
Prophylactic uterine compression sutures for addressing potential postpartum hemorrhage
  • Guang‐Tai Li, Hong‐Mei Xu, Guang‐Rui Li
  • Medicine
  • The journal of obstetrics and gynaecology research
  • 2019
TLDR
Uterine compression suture is an effective procedure to cope with potential PPH, particularly in parturient who cannot be applied uterotonics or can no longer bear any additional invasive procedures postoperatively due to progressive deterioration of the disease. Expand
Uterine compression sutures for preserving fertility in severe postpartum haemorrhage: An overview 13 years after the first description
  • C. Fotopoulou, J. Dudenhausen
  • Medicine
  • Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
  • 2010
TLDR
UCS appear safe, simple to learn and preserve future reproductive potential in women who wish to preserve fertility and should be considered prior to definite measures like hysterectomy in severe PPH. Expand
Uterine wall partial thickness necrosis following combined B-Lynch and Cho square sutures for the treatment of primary postpartum hemorrhage.
  • H. Akoury, C. Sherman
  • Medicine
  • Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC
  • 2008
TLDR
Patients should be informed about the possible complications of the use of compression sutures and the need to undergo postoperative follow-up to confirm uterine wall integrity, and the establishment of a national registry of women who undergo placement of compressionSutures is proposed. Expand
Uterine Compression Sutures in Controlling Postpartum Haemorrhage: A Narrative Review.
TLDR
Uterine compression sutures are effective, safe and simple to perform in an emergent situation and preserve fertility potential in cases of postpartum haemorrhage and its use is recommended, if possible, prior to hysterectomy. Expand
Uterine compression sutures, an update: review of efficacy, safety and complications of B-Lynch suture and other uterine compression techniques for postpartum haemorrhage
TLDR
A review of various uterine compression sutures with respect to their efficacy, safety, complications, complexity of the technique itself, future fertility and menstrual periods is conducted. Expand
ORIGINAL RESEARCH PAPER ANALYSIS OF EFFICACY AND LIMITATION OF CLASSIC B-LYNCH SUTURE AND ROLE OF MODIFIED B-LYNCH SUTURE IN THE MANAGEMENT OF PPH
Introduction: Postpartum hemorrhage is a life threatening obstetric complication and is the leading cause of maternal mortality in developing countries like India. Uterine compression suturesExpand
SIMPLE TECHNIQUE OF UTERINE COMPRESSION SUTURES FOR PREVENTION OF PRIMARY POSTPARTUM HEMORRHAGE DURING CAESARIAN SECTION
TLDR
Simple compression technique is surgically easy, with life saving potential, offers relative safety, time saving and can be managed by trainee doctors after some experience. Expand
Alternate Sequential Suture Tightening: A Novel Technique for Uncontrolled Postpartum Hemorrhage
TLDR
This technique cannot replace the standard modified B-Lynch technique for uncontrolled postpartum haemorrhage but can be used for unresponsive, flabby, and atonic uterus and is simple, quick, and effective. Expand
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References

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TLDR
The B-Lynch suture technique is easy to perform in Caesarean sections and can be adopted in vaginal deliveries, and may prevent excessive blood loss and be beneficial for the patient's future fertility. Expand
Uterine compression sutures as an alternative to hysterectomy for severe postpartum hemorrhage.
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TLDR
It is found that the B-Lynch compression suture is easy to apply and should be considered in cases of severe atonic PPH when oxytocic agents fail, and before resorting to hysterectomy. Expand
The B‐Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported
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 uterusExpand
Uterine Compression Sutures: Surgical Management of Postpartum Hemorrhage
TLDR
Compression sutures placed into the postpartum uterus may provide a simple first surgical step to control bleeding when routine oxytocic measures have failed and should be tried before more complex interventions are used. Expand
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TLDR
The B-Lynch surgical technique was used for control of the haemorrhage without any side effects and is advisable to use before other surgical procedures are effectuated. Expand
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TLDR
Though the authors affirm embolization requires 60–90 minutes and is thus unacceptable, 11 of 13 women were treated within 24 hours postpartum, and the authors erroneously assert that to verify ligation results a laparoscopy is needed, ignoring transvaginal Doppler. Expand
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TLDR
Whether used early or late in patient management, uterine packing for the control of postpartum hemorrhage is a safe, quick, and effective procedure. Expand
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TLDR
The range of medical and surgical interventions that may be considered for the modern management of major haemorrhage unresponsive to oxytocin and ergometrine are presented and the place of interventional radiology and hysterectomy in modern obstetrics is evaluated. Expand
Stepwise uterine devascularization: a novel technique for management of uncontrolled postpartum hemorrhage with preservation of the uterus.
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TLDR
Stepwise uterine devascularization is an effective and safe alternative to hysterectomy for management of uncontrollable postpartum hemorrhage. Expand
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