Effect of B-Lynch Suture: Bleeding Control and Asherman's Syndrome

Abstract

Aim and objective: The study was aimed to investigate possible complications such as intrauterine synechiae following the B-Lynch suture, which was used to control postpartum hemorrhage (PPH). Materials and methods: Our study included 36 patients, which underwent B-Lynch suture due to PPH from 2013 to 2015. Results: Asherman's syndrome was found in 3 (8.3%) of 36 patients who participated in the study. Two patients with Asherman's syndrome had a history of placenta accreta and one patient placenta previa. Conclusion:Compared to procedures that require experiences such as hysterectomy or internal iliac artery ligation, B-Lynch suture is a highlevel PPH approach that preserves fertility potential with preventing complications.

Challenges and diagnosis in therapy of secondary amenorrhoea in caesarean section patient with postpartum haemorrhage B-lynch sutures: a case report

“…The total of patient’s AFS was greater than 9, consisting of an assessment of the severity degree, involvement of the uterine cavity in which reached greater than 2/3, heavy adhesions, and cessation of the menstrual cycle (amenorrhoea). The European Society of Hysteroscopy (ESH) 1989, classified the hysteroscopy results of such patients into the grade IV group indicated by the presence of extensive strong adhesions to the uterine wall 13 , 14 .…”

“…In addition, uterine necrosis can also occur due to suturing which is too tight so that it interferes with the uterine blood supply. The impaired perfusion has an impact on cell ischaemia and infarction if not reperfused and ends in cell death 13 , 18 .…”

“…The second woman underwent Hayman sutures and uterine artery ligations. We postulated that severe hemodynamic, combination of techniques and degree of compression potentiate to cause endometrial scarring and ischaemic damage due to excessive suture tension on the myometrium 2 , 13 , 20 , 21 .…”