Which uterine sparing technique should be used for uterine atony during cesarean section? The Bakri balloon or the B-Lynch suture?

Archives of Gynecology and Obstetrics
Baris KayaAskin Dogan

Abstract

To evaluate various aspects of two popular uterine sparing techniques, the B-Lynch uterine compression suture and Bakri balloon tamponade, in severe postpartum hemorrhage (PPH). 21 women who underwent the Bakri balloon procedure and 24 women who underwent the B-Lynch suture as primary uterus-sparing methods, due to PPH not responding to medical treatment, were retrospectively evaluated. The success rates of the B-Lynch procedure and the Bakri balloon were 79.1 and 80 %, respectively. The success rates of the B-Lynch + IIAL and the Bakri balloon + IIAL were 91.6 and 95 %, respectively. There was no significant difference in success rates, mean duration of time to stop bleeding, estimated blood loss, transfused packed red blood cells or mean duration of hospital stay between the B-Lynch and the Bakri balloon groups. The duration of operation was significantly longer in the Bakri balloon compared to the B-Lynch group (p = 0.01). In our study, the Bakri balloon and the B-Lynch suture had similar success rates in uterine atony during CS. The advantages of the B-Lynch suture include rapid application with no need for lithotomy position or extra material; whereas the Bakri balloon is less invasive and easier to learn, but more time co...Continue Reading

References

Aug 15, 2001·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Y N BakriF Abdul Jabbar
Feb 14, 2004·BJOG : an International Journal of Obstetrics and Gynaecology·Vivek M Joshi, Maneesha Shrivastava
Mar 24, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·E J TreloarJ L Bailey
Oct 3, 2006·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
May 1, 2007·American Journal of Obstetrics and Gynecology·Wendy L Nelson, John M O'Brien
Jul 20, 2007·Obstetrical & Gynecological Survey·Stergios K DoumouchtsisSabaratnam Arulkumaran
May 6, 2008·American Journal of Obstetrics and Gynecology·Steven L ClarkGary D Hankins
Aug 2, 2008·Obstetrics and Gynecology·Amy G GottliebRonald S Gibbs
Oct 18, 2008·Acta Obstetricia Et Gynecologica Scandinavica·Loïc SentilhesLoïc Marpeau
Jul 23, 2009·Obstetrics and Gynecology·Cynthia S ShellhaasUNKNOWN Eunice Kennedy Shriver National Institutes of Health and Human Development (NICHD) Maternal–Fetal Medicine Units Network (MF
Oct 20, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·E El-HamamyC B-Lynch
May 27, 2010·Obstetrics and Gynecology·Jason D WrightThomas J Herzog
Jul 20, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Kazım GezginçTuba Koyuncu
Oct 11, 2011·American Journal of Obstetrics and Gynecology·Brian T BatemanElena V Kuklina
Oct 18, 2011·American Journal of Obstetrics and Gynecology·Anke DiemertKurt Hecher
Jan 28, 2012·Seminars in Perinatology·Sina Haeri, Gary A Dildy
Aug 14, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·K TindellM Eckardt
Nov 28, 2012·Archives of Gynecology and Obstetrics·M D RashmiT M Chaitra
Jan 22, 2013·Acta Obstetricia Et Gynecologica Scandinavica·Shigeki MatsubaraMitsuaki Suzuki
Mar 9, 2013·American Journal of Obstetrics and Gynecology·Soizic LeparcoXavier Deffieux
Jan 2, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Salah M RasheedHala A Wahab
Mar 26, 2014·Journal of Perinatal Medicine·Bariş KayaOnur Guralp
Apr 1, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·S LiuS Tagore
Oct 16, 2014·Archives of Gynecology and Obstetrics·Baris KayaOnur Guralp
Oct 22, 2014·The Journal of Obstetrics and Gynaecology Research·Mari TadakawaNobuo Yaegashi
Apr 24, 2015·Archives of Gynecology and Obstetrics·Sarit HelmanSorina Grisaru-Granovsky
Jun 25, 2015·Archives of Gynecology and Obstetrics·Cara Z de la CruzWendy N Nembhard

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Citations

Mar 13, 2016·Archives of Gynecology and Obstetrics·Shigeki Matsubara
Sep 25, 2017·Obstetrics and Gynecology·UNKNOWN Committee on Practice Bulletins-Obstetrics
Mar 21, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Berna Aslan ÇetinIsmail Ozdemir
Sep 26, 2020·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Joshua P VogelOlufemi T Oladapo

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