Modified B Lynch suture in the management of atonic postpartum haemorrhage: An experience
Journal Title: Medpulse International Journal of Gynaecology - Year 2017, Vol 3, Issue 3
Abstract
Background: It has been estimated that worldwide over 1,25,000 women die of postpartum haemorrhage each year. In India 25.6% maternal death is due to postpartum harmorrhage. Incidence of postpartum harmorrhage in Government Medical Collage and Hospital Yavatmal is 1.2% from February 2015 to May 2016. Failing conservative management hysterectomy is usually final resort.In1997 Balogun lynch christopher devised an innovative technique to treat uterine atony and it has been widely used around the world since its original report. Our report reviews the cases in which the Modified B Lynch suture was used to treat uterine atony and clinical outcomes of these cases. Methods: A prospective observational study of data of all women who delivered between February 2015 till May 2016 at department of obstetrics and gynecology Yavatmal. Data was collected for all women to whom the Modified B Lynch suture were applied for intractable postpartum haemorrhage. Primary PPH is defined as blood loss of more than 500ml at or within 24 hours of delivery. Results: There were a total of 12,015 deliveries during this period with primary postpartum haemorrhage occuring in 154 cases. The Modified B Lynch procedure was performed in 8 cases. Hysterectomy was done as life saving procedure in 1 case. Conclusion: Our series of cases treated with the Modified B Lynch procedure showed that the development of this technique has proved to be valuable in the control of massive postpartum haemorrhage as an alternative to hysterectomy and great advantage in young patients with restoration of future fertility. It has the advantage of being applied easily and rapidly. It should be attempted when conservative management of PPH fails and before any radical surgery is considered.
Authors and Affiliations
P M Kulsange, S Warade
Keywords
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