The B‐Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported

TLDR

The B‑Lynch brace suture is a simple, life‑saving, uterus‑preserving method for controlling postpartum haemorrhage, offering a fertility‑conserving alternative to more radical surgery. In five reported cases, the B‑Lynch suture achieved immediate haemostasis, proved safe with no complications, and provided a viable alternative to hysterectomy.

Abstract

The B-Lynch suturing technique (brace suture) may be particularly useful because of its simplicity of application, life saving potential, relative safety, and its capacity for preserving the uterus and thus fertility. Satisfactory haemostasis can be assessed immediately after application. If it fails, which has not yet been the case, other more radical surgical methods as mentioned in this paper and in the literature can be considered. The special advantage of this innovative technique is an alternative to major surgical procedures to control pelvic arterial pulse pressure or hysterectomy. This suturing technique has been successfully applied with no problems to date and no apparent complications.