Bilateral uterine and ovarian artery ligation in addition to B-Lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhage

dc.contributor.authorGezginc, K.
dc.contributor.authorYazici, F.
dc.contributor.authorKoyuncu, T.
dc.contributor.authorMahmoud, A. S.
dc.date.accessioned2020-03-26T18:24:06Z
dc.date.available2020-03-26T18:24:06Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose 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.en_US
dc.identifier.endpage170en_US
dc.identifier.issn0390-6663en_US
dc.identifier.issue2en_US
dc.identifier.pmid22905456en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage168en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/27787
dc.identifier.volume39en_US
dc.identifier.wosWOS:000304899500009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisher7847050 CANADA INCen_US
dc.relation.ispartofCLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAtonic postpartum hemorrhageen_US
dc.subjectB-Lynch sutureen_US
dc.subjectBilateral uterine and ovarian artery ligationen_US
dc.titleBilateral uterine and ovarian artery ligation in addition to B-Lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhageen_US
dc.typeArticleen_US

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