Postpartum hemorrhage managment is a major concern to reduce maternal mortality.
We are interested to know the results in different scenarios.
Yes. My colleagues in Indonesia introduced "Surabaya method" as a modified B-Lynch. See the link.
indonesia.digitaljournals.org › ... › Sulistyono
I do not have it personally, but it is performed in our department.
Regards from Mette H Moen
professor emerit. Trondheim, Norway
I have needed to use it 3 times and it has been successful each time, however, I am certain it is just a matter of time before it does not. It was originally described during Caesarean and has worked well for me times 2. The other was a modified B-Lynch (because there was no hysterotomy). It was a laparotomy with the anticipation of postpartum hysterectomy, however the modified B-Lynch worked so she saved her uterus for another day.
Well, i think that it entirely depends on the hospital`s blood maintenance. It seems to be a promising technique, however, most of the series in the international literatture are underpowered...in our institution it is sheldom used as the advance in oxytocin analogs and other medical interventions have surpased it...Furthermore, i recall that even Dr Lynch questioned the technique several years after its introduction...
Yes.I(have had a successful outcome in some , others not. Perhaps in combination with the Bakri balloon success may be higher, e.g, with local problem such as placenta accreta. It is certainly not a panacea but should be in the armementarium of the practising Obstetrician.
We perform the B-Lynch sutures regularly and have reduced the numbers of postpartum hysterectomies significantly.
Please find enclosed article published on this question publciado our hospital.
Yes, we've performed it succesfully during PPH but also in women with high risk on PPH during c-section, for example a previa or partial accrete placenta wich has been removed.
We do perform it with excellent results and saved several uteri....please go through his recent publication in Nepalese Journal.B-Lynch Transverse Compression Suture for PPH Placenta Previa Bleeding B-Lynch C, Meyer KK, Javaid TA......please provide feedback...........link is as follows:
http://nepjol.info/index.php/NJOG/article/view/11723
B-Lynch is on of the commonest conservative surgical procedure we perform with excellent results.
We have also performed B-Lynch suture. But in one patient uterine necrosis occured. after this patient We generally perform balloon tamponade. Sometimes we perform mix technique.(Balloon+B-Lynch)(called Sandwich technique). But our first choice is balloon tamponade.
we have a simulation program and we have developep our own patented simulator
visit www.emergenciasobstetricas.com
We have also performed B-Lynch suture. But now our first choice is balloon tamponade
I had the pleasure of working with B-Lynch taught how to do the procedure. I feel the procedure is simple but appropriate for surgically atonic uterus. This is not an alternative to uterine bleeding from other cause like uterine angle or placenta bed especially in placenta previa.
I thank you so much to all for the information from different sites. We have some experience (1) and we will update the protocol with your comments.
Kind regards, FRPL
(1) Enriquez M, Maruri G, Ezeta G, Hidalgo L, Pérez-López FR, Chedraui P.The B-Lynch technique for the management of intraoperative uterine atony. J Obstet Gynaecol 2012;32:338-41.
UTERINE TAMPONADE EITHER WITH BALOON OR PACKS IS OUR FIRST CHOICE AND WORKS V WELL .
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