Application of improved B-Lynch sutura in hemorrhage caused by uterine inertia during the ce-sarean section

Abstract

Objective To investigate the application methods and clinical effect of improved B-Lynch sutura on hemorrhage caused by uterine inertia during the cesarean section. Methods A retro-spective analysis was performed on the clinical data of 72 patients with hemorrhage caused by uterine in-ertia during the cesarean section,who were treated by improved B-Lynch sutura in the first people’s hos-pital of Shangqiu from April 2008 to June 2013. Results The hemorrhage dosage during operation of the 72 patients was 600 - 2300 ml,all of the patients were stanched effectively,the effective rate was 100%and there was no hemorrhagic shock occured during the operation,7 cases were taken transfusion for 400 - 800 ml,no one was cut the uterus because of hemorrhage out-of-control. The uterus wounds of the patients healed well and there was no complication of rehaemorrhagia,infection,intrauterine adhesion or endometriosis occur. Follow-up visited for 7 - 14 months after the patients left the hospital,found their lochia was regular,when reviewed the patients by B ultrasound 42 days after the operation showed that, their involution of uterus was good. Conclusions The B-Lynch sutura is easy to handle,dispense with special instrument and high technical requirements,it has the characteristics of rapid,valid and definite when salvaging the patients with massive haemorrhage caused by uterine inertia during the cesarean sec-tion,besides,it is also beneficial to uterus recovery and suitable for primary hospital to use. Key words: Postpartum hemorrhage; Improved B-Lynch sutura; Caesarean section; Uterine inertia