Erfahrungen mit der B-Lynch-Nahttechnik bei schwergradiger Blutung infolge postpartaler Uterusatonie
| Autor: | D. Mosny, G. Crombach, T. Schwenzer, W. Klockenbusch, P. Bielfeld, U. Peisker |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Hysterectomy postpartum bleeding Vascular disease business.industry Arterial Embolization medicine.medical_treatment Uterus Obstetrics and Gynecology medicine.disease Surgery Uterine atony medicine.anatomical_structure Suture (anatomy) Maternity and Midwifery medicine Ligation business |
| Zdroj: | Geburtshilfe und Frauenheilkunde. 61:15-19 |
| ISSN: | 1438-8804 0016-5751 |
| Popis: | Objective: Various invasive techniques have been used to control postpartum bleeding in patients with uterine atony refractory to medical measures. Some methods are controversial (e.g., uterine tamponade), not widely available (e.g., arterial embolization), little known, or technically demanding (ligation of the uterine or internal arteries). We describe our experience with the suture technique described by B-Lynch in 1997. Methods: We used the B-Lynch technique in three patients with postpartum uterine atony in an attempt to avoid hysterectomy. All patients required red cell transfusions, one developed a coagulation disorder. The B-Lynch technique involves anchoring a running suture in the anterior and posterior aspects of the lower uterine segment and running the suture over the uterine fundus in a suspender-like fashion. This apparently keeps the uterus compressed, with subsequent reduction of uterine perfusion. Results: The B-Lynch suture required 5 to 10 minutes to perform. Bleeding declined markedly within 15 minutes and no patient required hysterectomy. Conclusion: The small number of cases reported to date suggest that the B-Lynch suture is a straightforward and efficient technique to control severe bleeding due to postpartum uterine atony. |
| Databáze: | OpenAIRE |
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