What is B-Lynch suture used for?
What is B-Lynch suture used for?
B-Lynch is a uterine compression suture, which apposes the anterior and posterior wall through a pair of vertical brace sutures which are put around the uterus. It works by direct application of pressure on the bleeding placental bed and by reducing the blood supply to uterus.
What is the treatment for uterine Atony?
Treatment for Atony of the Uterus uterine massage, which involves your doctor placing one hand in the vagina and pushing against the uterus while their other hand compresses the uterus through the abdominal wall. uterotonic drugs including oxytocin, methylergonovine (Methergine), and prostaglandins, such as Hemabate.
Do compression sutures resolve uterine Atony?
When PPH due to uterine atony appears during cesarean section and does not respond to medical treatment, it is reasonable to perform compression sutures before the patient’s condition deteriorates and hemodynamic decompensation occurs.
What type of suture is used in the original description of the B-Lynch suture technique?
In the original description of the B-Lynch suture, a chromic suture was used. In a later report, a No. 1 poliglecaprone-25 suture (Monocryl) was utilized.
Is uterine atony an emergency?
Uterine atony, inversion, and rupture are potentially fatal events that may occur in pregnancy. They are obstetric emergencies that require immediate attention.
What is the most common cause of uterine atony?
Risk factors for uterine atony include uterine overdistention secondary to hydramnios, multiple gestation, use of oxytocin, fetal macrosomia, high parity, rapid or prolonged labor, intra-amniotic infection and use of uterine-relaxing agents.
Which of the following compression sutures is most commonly performed in uterine Atony?
Efficacy of uterine compression sutures Of the various sutures, the B-Lynch suture has been the most widely performed. In a report in 2006, Price and B-Lynch 10 stated: “from personal communications to Mr. B-Lynch it is estimated that around 1 800 cases have so far been successfully performed worldwide.
How do you suture your uterus?
Our Technique The existing suturing techniques of uterine closure include: double layer where continuous interlocking is followed by an imbricating second layer; and, single layer where continuous interlocking or non-interlocking sutures are used.
What is the B-Lynch suturing technique?
If bleeding was diffuse, as in B-Lynch suturing technique. The vagina was swabbed to conrm adequate control of the bleeding. right lateral border. The mounted number two chromic the uterus widens from below upwards). The chromic upper anterior entry point. Now the chromic catgut rst assistant. The suture, which was in the cavity, was
Is uterine atony treatment available in Singapore?
In 1997, Christopher B-Lynch devised an innovative technique to treat uterine atony, and it has been widely used around the world since its original report. However, there are hardly any reports of this technique being utilised in East Asian countries, including Singapore.
Is the B-Lynch procedure an effective method of containing PPH?
Our series of cases treated with the B-Lynch procedure showed that it is an effective method of containing PPH. It has the advantage of being applied easily and rapidly, and should be taught to all trainees and registrars in obstetrics. It should be attempted when conservative management of PPH fails and before any radical surgery is considered.
