What suture is used for B-Lynch?
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.
When do you use B-Lynch sutures?
The B-Lynch suture or B-Lynch procedure is a form of compression suture used in obstetrics. It is used to mechanically compress an atonic uterus in the face of severe postpartum hemorrhage.
What is Hayman suture?
Hayman stitch. Hayman described a modification of the B-Lynch suture that is performed without a hysterotomy. Two to 4 vertical compression sutures are placed, as needed, but in contrast to the B-Lynch technique, these sutures pass directly from the anterior uterine wall to the posterior uterine wall.
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 an O’Leary stitch?
Bilateral ligation of the uterine vessels (O’Leary stitch) is the preferred approach for controlling PPH from laceration of the uterine artery or branches of the utero-ovarian artery. If this does not control bleeding, the vessels of the utero-ovarian arcade are similarly ligated.
What does atony mean?
lack of physiological tone
Medical Definition of atony : lack of physiological tone especially of a contractile organ.
What is Pereira stitch?
Pereira stitch. Pereira described a technique in which a series of transverse and longitudinal sutures of a delayed absorbable multifilament suture are placed around the uterus via a series of bites into the submucosal myometrium.
What does Atony mean?
How is a Bakri balloon placed?
After cleansing with an antiseptic solution, the physician grasps the cervix with forceps and inserts the balloon into the uterine cavity with the help of ultrasound. The entire portion of the balloon is pushed above the internal os (opening of the uterus).
What is a Bakri balloon used for?
The Bakri balloon is used for temporary control or reduction of postpartum hemorrhage when conservative management of uterine bleeding is warranted, after bleeding from genital tract lacerations and retained product of conception has been excluded.
What is the success rate of uterine artery ligation?
In contrast, uterine artery ligation has been shown to have a success rate of 92% and a complication rate of 1%. Both these techniques aim to leave the uterus intact and preserve fertility.
When did the B Lynch suture take place?
A retrospective study of data of all women who delivered between May 2004 and June 2007 was collected from the department’s database, to identify patients who had undergone the B-Lynch procedure. Primary PPH is defined as a blood loss of more than 500 ml at or within 24 hours of delivery.
When to use the B Lynch suture for 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.
How is the B Lynch suture used to treat uterine atony?
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
Where do the transverse and longitudinal sutures begin and end?
The Pereira sutures combine longitudinal and transverse sutures placed as a series of bites into the submucosal myometrium. The sutures do not enter the uterine cavity. The longitudinal sutures begin and end at the level of the transverse suture closest to the cervix.