The B-Lynch technique for postpartum haemorrhage: an option for every gynaecologist

B‐Lynch suture after the failure of hypogastric artery ligation to control post‐partum hemorrhage due to placenta increta in a patient with the factor V Leiden mutation

“…As far as we could determine, 60 successful cases have been reported to date, including the series of B‐Lynch et al. 16–20 one failure was reported in a case where a patient had undergone hysterectomy 21 . In a very recent case, uterine necrosis, following its application for primary post‐partum hemorrhage, was reported 22 …”

“…The technique has been used for bleeding that was unresponsive to vascular ligation in three patients 19,23 . Of these, O'Leary uterine artery ligation and utero‐ovarian branch ligations were unsuccessful in controlling the hemorrhage in one case 23 .…”

Fertility after B-Lynch suture and stepwise uterine devascularization

“…The search was not limited by language or publication type (full articles or abstract), and references of retrieved articles were screened. Only 13 cases of subsequent pregnancy after B-Lynch suture were reported in the literature (1,(15)(16)(17)(18)(19). Their characteristics are shown in Table 1.…”

A curriculum to teach and evaluate resident skills in the management of postpartum hemorrhage

“…ACOG Practice Bulletin , Number 76, Postpartum Hemorrhage [10] , a postpartum hemorrhage drill scenario, and instructions describing the performance of hemostatic square sutures, the B-Lynch suture, and the modifi ed B-Lynch suture [2,4,9,11,12] . The study packet was developed by the Maternal Fetal Medicine Faculty at Abington Memorial Hospital.…”