Comment on: Uterine compression sutures for post-partum bleeding with atony; Modification of the B-Lynch suture. Aust NZJ Obstet Gynaecol 2009; 49: 67-70

摘要

We were pleased to see the Journal publishing a novel modification of B-Lynch compression suture in the treatment of massive postpartum haemorrhage (Aust N Z J Obstet Gynaecol 2009; 49: 67-70). We have been performing B-Lynch sutures for a number of years, in total nine cases. Although not technically challenging, they have a tendency to slip off the uterine fundus laterally, often requiring fixing to the fundus with additional sutures. Moreover, we had an impression that the degree of achieved uterine compression could have been better, but neither of us could come up with a solution. In three women, the sutures proved clinically unsuccessful, with the patients requiring peripartum hysterectomy.