Publication: How B-Lynch suture and bilateral internal iliac artery ligation saved the uterus of a young patient with severe postpartum haemorrhage
Issued Date
2021-01-01
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ISSN
1757790X
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2-s2.0-85114100933
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Mahidol University
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SCOPUS
Bibliographic Citation
BMJ Case Reports. Vol.14, No.8 (2021)
Suggested Citation
San San Win, Helen Benedict Lasimbang, Sai Nay Lynn AUng, Tat Boon Yeap How B-Lynch suture and bilateral internal iliac artery ligation saved the uterus of a young patient with severe postpartum haemorrhage. BMJ Case Reports. Vol.14, No.8 (2021). doi:10.1136/bcr-2021-244226 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/78626
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Title
How B-Lynch suture and bilateral internal iliac artery ligation saved the uterus of a young patient with severe postpartum haemorrhage
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Abstract
Obstetric haemorrhage is the leading cause of maternal death worldwide (27.1%) and more than 66% of its deaths were classified as postpartum haemorrhage (PPH). The most common cause of PPH is uterine atony. Obstetrician should be skillful in managing obstetric emergencies; especially pertaining to PPH. Application of the B-Lynch suture on an atonic uterus is one of the surgical options in PPH patients who wish to conserve the uterus and it has a very high success rate. We present a primigravida patient who developed massive primary PPH followed by disseminated intravascular coagulation, which was successfully managed with B-Lynch suture and bilateral internal iliac artery ligation. We described in detail regarding the management of massive PPH and application of these surgical procedures on the atonic uterus with an attempt to preserve the uterus and future fertility in this young patient.