Skip to main content
Log in

Die B-Lynch-Naht

Technik und Vergleich mit der bimanuellen Uteruskompression

The B-Lynch suture

Technique and comparison with bimanual uterus compression

  • Leitthema
  • Published:
Der Gynäkologe Aims and scope

Zusammenfassung

Die B-Lynch-Technik ist eine etablierte, risikoarme Methode, um uteruserhaltend eine postpartale Hämorrhagie (PPH) zu beherrschen. Eine weniger invasive Alternative ist die bimanuelle Kompression der Gebärmutter. Beide Methoden stellen valide Optionen dar, um möglichst konservativ vorzugehen und letztendlich die Fertilität zu erhalten.

Abstract

The B-Lynch suture technique is an established low-risk method for managing postpartum uterine haemorrhaging while conserving the uterus. A less invasive alternative is bimanual compression of the uterus. Both methods represent valid options for conservative procedures in order to maintain fertility.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Chi IC, Agoestina T, Harbin J (1981) Maternal mortality at twelve teaching hospitals in Indonesia – an epidemiologic analysis. Int J GynecolObstet 19: 259–266

    CAS  Google Scholar 

  2. Liljestrand J (2006) Trends in maternal health/healthcare in low-income countries and the implications on neonatal health. Sem Fet Neonat Med 11: 3–6

    Article  Google Scholar 

  3. C BL, Coker A, Lawal AH et al. (1997) The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported. BJOG 104: 372–375

    Article  Google Scholar 

  4. El-Hamamy E, C BL (2005) A worldwide review of the uses of the uterine compression suture techniques as alternative to hysterectomy in the management of severe post-partum haemorrhage. J Obstet Gynecol 25: 143–149

    CAS  Google Scholar 

  5. Habek D, Kulas T, Bobic-Vukovic M et al. (2006) Successful of the B-Lynch compression suture in the management of massive postpartum hemorrhage: case reports and review. Arch Gynecol Obstet 273: 307–309

    Article  PubMed  Google Scholar 

  6. Hayman RG, Arulkumaran S, Steer PJ (2002) Uterine compression sutures: surgical management of postpartum hemorrhage. Obstet Gynecol 99: 502–506

    Article  PubMed  CAS  Google Scholar 

  7. Cho JH, Jun HS, Lee CN (2000) Hemostatic suturing technique for uterine bleeding during cesarean delivery. Obstet Gynecol 96: 129–131

    Article  PubMed  CAS  Google Scholar 

  8. Ochoa M, Allaire AD, Stitely ML (2002) Pyometria after hemostatic square suture technique. Obstet Gynecol 99: 506–509

    Article  PubMed  Google Scholar 

  9. Malibary AM (2004) Modified B-Lynch technique for the control of massive postpartum hemorrhage. An alternative to hysterectomy. Saudi Med J 25: 1999–2000

    PubMed  Google Scholar 

  10. Hackethal A, Brueggmann D, Oehmke F et al. (2007) Uterine compression U-sutures in primary postpartum hemorrhage after Cesarean section: fertility preservation with a simple and effective technique. Hum Repr

  11. Habek D, Vranjes M, Bobic Vukovic M et al. (2006) Successful term pregnancy after B-Lynch compression suture in a previous pregnancy on account of massive primary postpartum hemorrhage. Fet Diag Ther 21: 475–476

    Article  Google Scholar 

  12. Price N, Whitelaw N, C BL (2006) Application of the B-Lynch brace suture with associated intrauterine balloon catheter for massive haemorrhage due to placenta accreta following a second-trimester miscarriage. J Obstet Gynaecol 26: 267–268

    Article  PubMed  CAS  Google Scholar 

  13. Api M, Api O, Yayla M (2005) Fertility after B-Lynch suture and hypogastric artery ligation. Fert Ster 84: 509

    Google Scholar 

  14. Dadhwal V, Sumana G, Mittal S (2007) Hematometra following uterine compression sutures. Int J Gynaecol Obstet 99: 255–256

    Article  PubMed  CAS  Google Scholar 

  15. C BL (2005) Partial ischemic necrosis of the uterus following a uterine brace compression suture. BJOG 112: 126–127

    Google Scholar 

  16. El-Hamamy E (2005) Partial ischemic necrosis of the uterus following a uterine brace compression suture. BJOG 112: 126

    PubMed  Google Scholar 

  17. Grotegut CA, Larsen FW, Jones MR, Livingston E (2004) Erosion of a B-Lynch suture through the uterine wall: a case report. J Reprod Med 49: 849–852

    PubMed  Google Scholar 

  18. Wu HH, Yeh GP (2005) Uterine cavity synechiae after hemostatic square suturing technique. Obstet Gyn 105: 1176–1178

    Google Scholar 

  19. Allahdin S, Aird C, Danielian P. B-Lynch sutures for major primary postpartum haemorrhage at caesarean section. J Obstet Gynaecol2006;26: 639–642

  20. Fernandez H, Pons JC, Chambon G, Frydman R, Papiernik E. Internal iliac artery ligation in post-partum hemorrhage. Eur J Obstet GynecolReprBio1988;28: 213–220

    Google Scholar 

  21. Chrisman HB, Liu DM, Bui JT et al. The safety and efficacy of a percutaneous closure device in patients undergoing uterine artery embolization. J VascInterv Radiol 2005;16: 347–350

    Google Scholar 

  22. Akhter S, Begum MR, Kabir Z et al. Use of a condom to control massive postpartum hemorrhage. MedGenMed 2003;5: 38

    Google Scholar 

  23. Nelson WL, O’Brien JM. The uterine sandwich for persistent uterine atony: combining the B-Lynch compression suture and an intrauterine Bakri balloon. AJOG 2007;196: e9–10

  24. Ghaem-Maghami S, Brockbank E, Bridges J. Survey of surgical experience during training in obstetrics and gynaecology in the UK. J Obstet Gynaecol2006;26: 297–301

  25. Shiva M. Of human rights and women’s health. Health for the millions 1991;17: 34–36

    Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenskonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. Lachmann.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lachmann, R., Kamin, G., Kamil, D. et al. Die B-Lynch-Naht. Gynäkologe 41, 123–126 (2008). https://doi.org/10.1007/s00129-007-2104-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00129-007-2104-6

Schlüsselwörter

Keywords

Navigation