Bilateral uterine and ovarian artery ligation in addition to B-Lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhage
Küçük Resim Yok
Tarih
2012
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
7847050 CANADA INC
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose of investigation: To evaluate the effectiveness of bilateral uterine arteries and ovarian artery ligation followed by B-Lynch compression suturing in controlling atonic postpartum hemorrhage. Methods: In this retrospective study, the data of eight patients that had uterine atony during cesarean section and treated by bilateral uterine and ovarian artery ligation followed by B-Lynch compression suturing during the period from February 2009 to September 2010 were collected and analyzed. Results: Eight cases were treated by the above protocol; the average age of the patients was 25.25 +/- 5.09 years, and the mean gestational age was 35.75 +/- 3.80 weeks. Seven of the patients were primiparous. They were hospitalized on average 5.25 +/- 2.31 days. The mean operation time was 61.25 +/- 24.60 minutes and mean estimated blood loss was 2787.5 +/- 1573.38 ml. Internal iliac artery ligation was necessary in one patient only. Hysterectomy was not performed in any of the patients. Five patients had intraoperative or postoperative blood transfusion. Conclusion: The addition of uterine artery and ovarian artery ligation to the B-Lynch suture may be considered as a major hemostatic step before proceeding to hysterectomy in cases of uterine atony bleeding, and all gynecologic surgeons should be familiar with it.
Açıklama
Anahtar Kelimeler
Atonic postpartum hemorrhage, B-Lynch suture, Bilateral uterine and ovarian artery ligation
Kaynak
CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY
WoS Q Değeri
Q4
Scopus Q Değeri
Q4
Cilt
39
Sayı
2
