The B‐Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported

• Published in: BJOG : an international journal of obstetrics and gynaecology Vol. 104; no. 3; pp. 372 - 375
• Main Authors: B‐Lynch, Christopher, Coker, Adeyemi, Lawal, Adegboyega H., Abu, Jaf, Cowen, Michael J.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.03.1997
• Subjects: Abruptio Placentae - surgery; Adult; Female; Humans; Placenta Previa - surgery; Postpartum Hemorrhage - prevention & control; Pregnancy; Pregnancy Complications - surgery; Suture Techniques
• ISSN: 1470-0328; 0306-5456; 1471-0528
• DOI: 10.1111/j.1471-0528.1997.tb11471.x

The B‐Lynch suturing technique (brace suture) may be particularly useful because of its simplicity of application, life saving potential, relative safety, and its capacity for preserving the uterus and thus fertility. Satisfactory haemostasis can be assessed immediately after application. If it fails, which has not yet been the case, other more radical surgical methods as mentioned in this paper and in the literature can be considered. The special advantage of this innovative technique is an alternative to major surgical procedures to control pelvic arterial pulse pressure or hysterectomy. This suturing technique has been successfully applied with no problems to date and no apparent complications.