Naheed Fatima, Shakila Yasmin, Joveria Sadaf.
Combined use of B-lynch Brace suture and uterine packing in primary post partum hemorrhage: saving life and fertility.
J Surg Pak Jan ;15(3):144-6.

Objective To find out the effectiveness and safety of combined use of B-Lynch brace suture and uterine packing in primary postpartum hemorrhage. Study design Descriptive case series. Place & Duration of study Obstetrics and Gynaecology Unit II, Bahawal Victoria Hospital Bahawalpur, from September 2007 to August 2009. Methodology Patients of primary postpartum hemorrhage (PPH) at cesarean section and after vaginal delivery, who were refractory to the routine medical treatment, were subjected to the application of B-Lynch brace suture combined with peroperative uterine packing with saline soaked rolled gauze. Results A total of twenty two cases were managed by study protocol. Only two patients (9.1%) had secondary PPH after removal of the uterine packing that was managed by obstetrical hysterectomy. In all other patients (90.9%) there was an effective control of the bleeding. None of the patients had infection. Conclusions Combined use of B-Lynch brace suture and uterine packing is an effective and safe method to control primary postpartum hemorrhage, hence saving life and fertility.

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