Publications

Christopher B-Lynch


« | Main | »

A Worldwide Review Of The Uses Of The Uterine Compression Suture Techniques As Alternative To Hysterectomy In The Management Of Severe Post-Psrtum Harmorrhage.

Journal of Obstetrics and Gynaecology Volume 25 Number 2 February 2005

E El-Hamamy & C B-Lynch

Abstract:

Postpartum haemorrhage (PPH) is a worldwide problem. The historical background dates back to William Smelley’s in the seventeenth century in his famous treaty of the theory and practice of midwifery in 1752. Changes in clinical factors and surgical expertise compel the modern day midwife and obstetrician to be vigilant in identifying risk factors and apply appropriate solution early. The recent confidential enquiry into maternal death (why mothers die (2000-2002)) identifies areas of substandard care. The rising caesarean section rate adds to the rising incidence of PPH. The reduction in junior doctor’s hours may limit the pool of experienced obstetric surgeons available to manage severe PPH competently. There can be major complications following radical surgery for PPH. These include loss of fertility, other morbidity and even maternal death.

The invention of the B-Lynch surgical technique for the conservative management of PPH was first performed and reported by a consultant obstetrician and gynaecological surgeon in Milton Keynes NHS Trust publishing the first series of now over 1300 successful applications of the technique worldwide (CB-Lynch personal communication). Other similar or modified techniques such as Cho’s Square Suture and Haymen’s modification of the B-Lynch Suture Technique have been introduced adding to more available methods of conservative surgery.

The current list of publications of successful applications of the B-Lynch compression technique is encouraging and more outcome data can be reported by a letter or e-mail to christopherbl@aol.com . Obstetricians and midwives both in developed and underdeveloped countries should seek training and attend fire drills in PPH control to avoid maternal morbidity and death. There should be special concentration on effective conservative surgery such as uterine compression techniques to avoid major morbidity and loss of fertility.

Topics: B-Lynch Suture Published Press Articles |

B-Lynch Suture Published Press Articles

Topics: Article, B-Lynch Suture Published Article, Publication | Comments Off on A Worldwide Review Of The Uses Of The Uterine Compression Suture Techniques As Alternative To Hysterectomy In The Management Of Severe Post-Psrtum Harmorrhage.

Comments are closed.