B-Lynch suture explained

The B-Lynch suture or B-Lynch procedure is a form of compression suture used in obstetrics. It is used to mechanically compress an atonic uterus in the face of severe postpartum hemorrhage. It was developed by Christopher B-Lynch, a consultant obstetrician and gynaecological surgeon based at Milton Keynes General Hospital, Milton Keynes, Buckinghamshire, England.[1] B-Lynch was born in 1947 in Sierra Leone with the birth name of Christopher Balogun-Lynch.[2]

The technique was first described in 1997.[3] [4] It can stop postpartum hemorrhage without the need for pelvic surgery and potentially preserving fertility.[5] It is regarded as "the best form of surgical approach for controlling atonic PPH as it helps in preserving the anatomical integrity of the uterus."[6]

Absorbable suture can be left in situ, and would typically not lead to problems with future pregnancies.[7]

Notes and References

  1. El-Hamamy E, B-Lynch C. A worldwide review of the uses of the uterine compression suture techniques as alternative to hysterectomy in the management of severe post-partum haemorrhage. Journal of Obstetrics and Gynaecology. 25. 2. 2009. 143–149. 0144-3615. 10.1080/01443610500040752. 15814393. 43454496.
  2. News: Professor Christopher B-Lynch: A worthy son of Sierra Leone; an inspiration to us. November 2, 2006. Awareness Times. 1 October 2012. https://web.archive.org/web/20120730050853/http://news.sl/drwebsite/exec/view.cgi?archive=3&num=3990. 2012-07-30. dead.
  3. B-Lynch. C. 9995113. March 1997. The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported.. British Journal of Obstetrics and Gynaecology. 104. 3. 372–375. 10.1111/j.1471-0528.1997.tb11471.x. 9091019. etal.
  4. Book: Gibbs. Ronald S.. Danforth's Obstetrics and Gynecology. 10. 2008. Lippincott Williams and Wilkins. 978-0-7817-6937-2. 455. etal.
  5. Book: Studd. John. Progress in Obstetrics and Gynaecology. 17. 2006. Elsevier Science Limited. 978-0-443-10313-1. 269. etal.
  6. Book: Saxena, Richa. Tips and Tricks in Operative Obstetrics and Gynecology. 2011. Jaypee Brothers Medical Pub. 978-9350252383. 243.
  7. Grotegut. C. Oct 2004. Erosion of a B-Lynch suture through the uterine wall: a case report. J Reprod Med. 49. 10. 849–52. etal. 15568411.

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