Re: A necrotic uterus after a B-Lynch Suture: Fertility sparing surgery. Aust N Z J Obstet Gynaecol 2013; 53: 408-409

摘要

It is a valid point that the effects of uterine compression sutures (UCS) on fertility are not well established; however, the effects of a caesarean hysterectomy on fertility are not disputed. Prospective studies that follow up the fertility outcomes of women with UCS would clearly be invaluable for us in our counselling of women, as would similar studies with women who undergo internal iliac ligation (IIL), Bakri balloon placement or uterine artery embolisation (UAE). I am not aware of any published reports on fertility after uterine artery embolisation in this setting, although there are limited reports of successful pregnancy after UAE for fibroids. Similarly, there are so far only two published reports of pregnancy after Bakri balloon use, and so its effect on fertility is not known. In fact, there is the theoretical speculation that, if they are left in too long, Bakri balloons may lead to necrosis of the endometrium.