Api Murat, Api Olus, Yayla Murat
Department of Obstetrics and Gynecology, Haseki Education and Research Hospital, Istanbul, Turkey.
Fertil Steril. 2005 Aug;84(2):509. doi: 10.1016/j.fertnstert.2005.01.140.
To report a case of successful pregnancy after hypogastric artery ligation and the B-Lynch brace suturing technique.
Case report.
Education and research hospital.
PATIENT(S): A 22-year-old woman, whose first pregnancy was terminated by cesarean section owing to abruptio placenta and intrauterine fetal demise diagnosed at the 26th week of gestation, referred to our clinic for uterine atony.
INTERVENTION(S): Hypogastric artery ligation and the B-Lynch brace suturing technique.
MAIN OUTCOME MEASURE(S): Clinical pregnancy and live birth.
RESULT(S): Two years after the surgery, the patient conceived spontaneously and delivered a healthy infant after an uneventful pregnancy.
CONCLUSION(S): This is the first reported case of successful pregnancy after hypogastric artery ligation and B-Lynch suturing technique. This life-saving therapeutic option for severe postpartum hemorrhage appears to be a safe procedure that does not impair subsequent fertility and pregnancy outcomes. The B-Lynch suturing technique seems to be simple and has the capability of preserving the uterus; therefore it may be considered as the first-line surgical treatment for uterine atony before considering hysterectomy.
报告1例经腹主动脉结扎术和B-Lynch缝合术成功妊娠的病例。
病例报告。
教学与研究医院。
一名22岁女性，其首次妊娠因胎盘早剥和妊娠26周时诊断出的宫内胎儿死亡而剖宫产终止，因宫缩乏力转诊至我院。
腹主动脉结扎术和B-Lynch缝合术。
临床妊娠和活产。
术后两年，患者自然受孕，孕期顺利，产下一名健康婴儿。
这是首例经腹主动脉结扎术和B-Lynch缝合术成功妊娠的病例报告。这种用于严重产后出血的挽救生命的治疗选择似乎是一种安全的手术，不会损害后续生育能力和妊娠结局。B-Lynch缝合术似乎简单且有保留子宫的能力；因此，在考虑子宫切除术之前，它可被视为宫缩乏力的一线手术治疗方法。
