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The Journal of Obstetrics and Gynecology of India
Published in: The Journal of Obstetrics and Gynecology of India 1/2019

01-04-2019 | Case Report

B-Lynch Resulting in Total Uterine Necrosis Leading to Obstetric Hysterectomy

Authors: Abhipsa Mishra, Sudarshan Dash, Sudhansu Kumar Rath

Published in: The Journal of Obstetrics and Gynecology of India | Special Issue 1/2019

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Excerpt

B-Lynch suturing has become a revolution in the management of atonic PPH when other conservative managements such as uterotonic drugs, uterine packing and devascularization fail. It saves the uterus for future fertility, avoiding obstetric hysterectomy [1]. As in all surgical procedures, it has its own complications. We report a case of obstetric hysterectomy due to total uterine necrosis as a result of B-Lynch suturing. …
Literature
1.
Chai VY, To WW. Uterine compression sutures for management of severe postpartum haemorrhage: five year audit. Hong Kong Med J. 2014;20:113–20.PubMed
2.
Gerli S, Favilli A, Giardona C, et al. Fertility after “only B-Lynch suture”: a case report and literature review. Taiwan J Obstet Gynecol. 2013;52:110–2.CrossRefPubMed
3.
Goojha CA, Case A, Pierson R. Development of Asherman syndrome after conservative surgical management of intractable postpartum hemorrhage. Fertil Steril. 2010;94:1098.e1–5.CrossRef
4.
Somalwar SA, Joshi SA, Bhalerao AV, et al. Total uterine necrosis. A complication of B-Lynch suture. J South Asian Fed Obstet Gynaecol. 2012;4:61–3.
5.
Bulusu Ratna, Dharma Vijaya MN, Chandra Mouli A, et al. Total uterine necrosis—a case report with review of literature. J Clin Biomed Sci. 2016;6:33–5.
Metadata
Title
B-Lynch Resulting in Total Uterine Necrosis Leading to Obstetric Hysterectomy
Authors
Abhipsa Mishra
Sudarshan Dash
Sudhansu Kumar Rath
Publication date
01-04-2019
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue Special Issue 1/2019
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-017-1068-2

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