IMR Press / CEOG / Volume 39 / Issue 2 / pii/1630475537411-1822018852

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Bilateral uterine and ovarian artery ligation in addition to B-Lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhage
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1 Department of Obstetrics and Gynecology, Selcuk University Meram Medical School, Konya (Turkey)
Clin. Exp. Obstet. Gynecol. 2012, 39(2), 168–170;
Published: 10 June 2012
Abstract

Purpose of investigation: To evaluate the effectiveness of bilateral uterine arteries and ovarian artery ligation followed by B-Lynch compression suturing in controlling atonic postpartum hemorrhage. Methods: In this retrospective study, the data of eight patients that had uterine atony during cesarean section and treated by bilateral uterine and ovarian artery ligation followed by B-Lynch compression suturing during the period from February 2009 to September 2010 were collected and analyzed. Results: Eight cases were treated by the above protocol; the average age of the patients was 25.25 ± 5.09 years, and the mean gestational age was 35.75 ± 3.80 weeks. Seven of the patients were primiparous. They were hospitalized on average 5.25 ± 2.31 days. The mean operation time was 61.25 ± 24.60 minutes and mean estimated blood loss was 2787.5 ± 1573.38 ml. Internal iliac artery ligation was necessary in one patient only. Hysterectomy was not performed in any of the patients. Five patients had intraoperative or postoperative blood transfusion. Conclusion: The addition of uterine artery and ovarian artery ligation to the B-Lynch suture may be considered as a major hemostatic step before proceeding to hysterectomy in cases of uterine atony bleeding, and all gynecologic surgeons should be familiar with it.
Keywords
Atonic postpartum hemorrhage
B-Lynch suture
Bilateral uterine and ovarian artery ligation
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