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Tropical Journal of Obstetrics and Gynaecology

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B-Lynch Suture-Uterine Artery Ligation in Severe Postpartum Haemorrhage: First Experience at a New Tertiary Institution in Nigeria

BA Olofinbiyia, OP Adulojua, BN Olagbujia, IP Ade-Ojo, OD Olaogun, JM Afolayan

Abstract


Postpartum haemorrhage is a major contributor to maternal morbidity and mortality. Numerous medical and surgical methods have been used to arrest bleeding but none has been uniformly successful. Experience with
combined B-Lynch suture(Brace suture) and bilateral uterine artery  devascularisation procedure is limited in southwestern Nigeria as there is dearth of data on it and most times (especially in our center) hysterectomy is done to secure haemostasis in severe postpartum haemorrhage which could as well, in well selected cases, respond to the procedures being described. A combined B-Lynch suture and bilateral ligation of the uterine vessels(the first experience in the centre of study) was done in the case reported below which was successful and effective with no complications. This is thus highly recommended as alternative to obstetric hysterectomy especially in well selected primipara. (B-Lynch, uterine artery ligation, postpartum haemorrhage, Nigeria)



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