B-Lynch suture

B-Lynch suture is a surgical procedure used in the management of postpartum hemorrhage. It was first described by Dr. Christopher B-Lynch, a British obstetrician and gynecologist, in 1997. The technique involves the placement of a brace suture on the uterus to compress the bleeding vessels and control hemorrhage.

Indications

The B-Lynch suture is primarily indicated in cases of postpartum hemorrhage that are unresponsive to medical management. It may also be used in cases where surgical interventions such as hysterectomy are not feasible or desired.

Procedure

The B-Lynch suture is placed on the uterus in a 'brace' pattern. The suture is passed through the anterior wall of the uterus, around the back of the uterus, and then out through the anterior wall again. The ends of the suture are then tied together, compressing the uterus and controlling the bleeding.

Advantages

The B-Lynch suture has several advantages over other surgical interventions for postpartum hemorrhage. It is relatively simple to perform and does not require specialized surgical skills. It also preserves the uterus, allowing for future pregnancies.

Risks and Complications

As with any surgical procedure, the B-Lynch suture carries some risks. These include infection, damage to surrounding organs, and failure to control the bleeding. In some cases, a hysterectomy may still be required.

See Also

• Postpartum hemorrhage
• Hysterectomy
• Obstetrics and gynecology

• 
  B-Lynch suture