Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta期刊界 All Journals 搜尽天下杂志传播学术成果专业期刊搜索期刊信息化学术搜索

Bilateral uterine artery ligation plus B-Lynch procedure for atonic postpartum hemorrhage with placenta accreta

Authors:	Ahmed Y. Shahin Tarek A. Farghaly Mahmoud Shokry Diaa-Eldeen M. Abd-El-Aal

Affiliation:	^a Department of Obstetrics and Gynecology, Women's Health Centre, Assiut University, Egypt ^b Department of Obstetrics and Gynecology, Saudi-German Hospital, Abha, Saudi Arabia

Abstract:	Objective To assess the effectiveness of bilateral uterine artery ligation followed by B-Lynch compression suturing in women with atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta. Method This protocol was followed in 26 women undergoing cesarean delivery for placenta accreta. Results Two women died from disseminated intravascular coagulopathy. In the remaining 24 women, placental remnants completely disappeared within 8 months and ovulation resumed after a mean ± SD of 51.6 ± 3.2 days. Moreover, 18 women (75%) became pregnant within 12 months. Conclusion Atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta can be safely controlled by bilateral uterine artery ligation followed by B-Lynch compression suturing in women who desire to remain fertile.

Keywords:	B-Lynch procedure Cesarean delivery Fertility Postpartum hemorrhage Uterine artery ligation
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