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The effect of B-Lynch uterine compression suture performed for uterine atony on future menstrual pattern and reproductive outcome
, 2, 3, 4
Affiliations- Yuregir Government Hospital Department of Obstetrics and Gynecology, Adana, Türkiye, Türkiye
- Departmant of Obstetrics and Gynecology, Karabuk University School of Medicine, Türkiye
- Department of Obstetric And Gynecology, Cukurova Unıversty School of Medicine, Türkiye, Türkiye
- Department of Obstetric and Gynecology, Health Science Universty, Etlik Education and Research Hospital, Türkiye, Türkiye
open access
Abstract
Objectives: The effects of B-Lynch (UCS) compression sutures applied in postpartum hemorrhage cases due to uterine atony on menstrual pattern, fertility, obstetric outcomes, dysmenorrhea and dyspareunia were evaluated.
Material and methods: Between January 2012 and March 2017, 77 patients (study group 37, control group 40) diagnosed postpartum hemorrhage in our clinic were included in the study. The long-term results of the patients were evaluated comparatively.
Results: In the B-Lynch UCS group, an increase in the postoperative menstrual cycle length and the intensity of dyspareunia measured by the VAS score, and a statistically significant decrease in the duration of menstrual bleeding were observed. In the control group, a decrease in the self-estimated time of postpartum menstrual bleeding and a statistically significant increase in dyspareunia VAS values were observed. There was a statistically significant difference between the groups in terms of menstrual cycle length only after treatment.
Conclusion: B-Lynch UCS can be used effectively and safely in PPH due to uterine atony without causing any additional pathology in menstrual pattern, fertility, dysmenorrhea and dyspareunia complaints other than the length of the menstrual cycle.
Abstract
Objectives: The effects of B-Lynch (UCS) compression sutures applied in postpartum hemorrhage cases due to uterine atony on menstrual pattern, fertility, obstetric outcomes, dysmenorrhea and dyspareunia were evaluated.
Material and methods: Between January 2012 and March 2017, 77 patients (study group 37, control group 40) diagnosed postpartum hemorrhage in our clinic were included in the study. The long-term results of the patients were evaluated comparatively.
Results: In the B-Lynch UCS group, an increase in the postoperative menstrual cycle length and the intensity of dyspareunia measured by the VAS score, and a statistically significant decrease in the duration of menstrual bleeding were observed. In the control group, a decrease in the self-estimated time of postpartum menstrual bleeding and a statistically significant increase in dyspareunia VAS values were observed. There was a statistically significant difference between the groups in terms of menstrual cycle length only after treatment.
Conclusion: B-Lynch UCS can be used effectively and safely in PPH due to uterine atony without causing any additional pathology in menstrual pattern, fertility, dysmenorrhea and dyspareunia complaints other than the length of the menstrual cycle.
Keywords
postpartum hemorrhage; B-Lynch uterine compression suture; menstrual regularity; dysmenorrhea; dyspareunia; fertility
About this articleTitle
The effect of B-Lynch uterine compression suture performed for uterine atony on future menstrual pattern and reproductive outcome
Journal
Issue
Article type
Research paper
Published online
2024-01-31
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146
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113
DOI
Pubmed
Keywords
postpartum hemorrhage
B-Lynch uterine compression suture
menstrual regularity
dysmenorrhea
dyspareunia
fertility
Authors
Dilek Kaplanoglu
Mehmet Bulbul
Mustafa Kaplanoglu
Berna Dilbaz
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