What suture do you use for B Lynch?
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What suture do you use for B Lynch?
B-Lynch is a uterine compression suture, which apposes the anterior and posterior wall through a pair of vertical brace sutures which are put around the uterus.
When do you do B-Lynch sutures?
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.
How do you suture your uterus?
The existing suturing techniques of uterine closure include: double layer where continuous interlocking is followed by an imbricating second layer; and, single layer where continuous interlocking or non-interlocking sutures are used.
What is Hayman suture?
Hayman stitch. Hayman described a modification of the B-Lynch suture that is performed without a hysterotomy. Two to 4 vertical compression sutures are placed, as needed, but in contrast to the B-Lynch technique, these sutures pass directly from the anterior uterine wall to the posterior uterine wall.
What is the treatment for uterine atony?
Treatment for Atony of the Uterus uterine massage, which involves your doctor placing one hand in the vagina and pushing against the uterus while their other hand compresses the uterus through the abdominal wall. uterotonic drugs including oxytocin, methylergonovine (Methergine), and prostaglandins, such as Hemabate.
What is Pereira stitch?
Pereira stitch. Pereira described a technique in which a series of transverse and longitudinal sutures of a delayed absorbable multifilament suture are placed around the uterus via a series of bites into the submucosal myometrium.
How do you choose suturing techniques?
The choice of suture technique depends on the following:
- Type and anatomic location of the wound.
- Thickness of the skin.
- Degree of tension.
- Desired cosmetic result.
How many types of suture techniques are there?
Sutures are basically of two types: Absorbable: It loses the tensile strength in 60 days. It is generally preferred for a buried type of suturing and does not require removal. Nonabsorbable: The tensile strength lasts for more than 60 days.
What is the most effective treatment for postpartum hemorrhage?
Oxytocin is an effective first-line treatment for postpartum hemorrhage31; 10 international units (IU) should be injected intramuscularly, or 20 IU in 1 L of saline may be infused at a rate of 250 mL per hour. As much as 500 mL can be infused over 10 minutes without complications.
How is postpartum hemorrhage prevented?
Active management of the third stage of labor does not increase the risk of retained placenta. Oxytocin (Pitocin) is the first choice for prevention of postpartum hemorrhage because it is as effective or more effective than ergot alkaloids or prostaglandins and has fewer side effects.
What is a brace suture?
A technique in which a compression suture is applied to the uterus, which can be used in cases of severe postpartum haemorrhage as an alternative to an emergency hysterectomy.
