What type of 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.

What are uterine compression sutures?

Uterine compression sutures are an effective method for the treatment of PPH, thus avoiding hysterectomy and preserving potential fertility. Postpartum hemorrhage (PPH) is an obstetric emergency that occurs in 1 to 5% of both vaginal and cesarean deliveries.

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.

How is B-Lynch suture done?

B-Lynch suture – UpToDate. A large Mayo needle with #2 chromic catgut is used to enter and exit the uterine cavity at A and B. The suture is looped over the fundus and then reenters the uterine cavity posteriorly at C, which is directly below B. The suture should be pulled very tight at this point.

What is a Pereira stitch?

Pereira stitch – UpToDate. 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?

Abstract. Uterine atony, or failure of the uterus to contract following delivery, is the most common cause of postpartum hemorrhage. This review serves to examine the prevention and treatment of uterine atony, including risk-factor recognition and active management of the third stage of labor.

When do you use B Lynch sutures?

Where are the compression sutures in the uterus?

Uterine compression sutures running through the full thickness of both uterine walls (posterior as well as anterior) have recently been described for surgical management of atonic PPH.

What happens when the B Lynch suture is applied?

The blind application of the suture can cause obliteration of the cervical and/or uterine lumens and lead to pyometra and morbidity [12]. Moreover, B-Lynch suture application without confirmation that the uterine cavity is completely empty is less likely to be successful.

Who was the first to describe compression suture?

Christopher B-Lynch was the first to highlight this revolutionary principle, and other uterine compression suture techniques have since been described by Hayman and Cho. Step-by-step description of the B-Lynch brace suture and discussion of the current compression suture techniques.

Can a uterus be sutured with both hands?

If the criteria for the B-Lynch suture are met, the uterus remains exteriorized until the suture is completed. The assistant performs uterine compression with both hands throughout suture placement the by the main surgeon.