Nishikawa A, Matsuzaki S, Mimura K, Kanagawa T, Kimura T
Clin Exp Obstet Gynecol. 2016;43(3):434-6.
The influence of the B-Lynch suture technique on subsequent fertility and pregnancy outcomes is not clear. In the present report, the authors describe the case of a very short interpregnancy interval following the successful placement of a B-lynch suture and discuss the associated problems.
A 33-year-old-woman underwent cesarean section after undergoing artificial induction of labor and subsequent atonic postpartum hemorrhage. Placement of a B-Lynch brace suture successfully stopped the bleeding and preserved the uterus. The patient became unexpectedly pregnant only four months later, making the present case the shortest reported interpregnancy interval after a surgery involving the B-Lynch suture.
In the present case, fertility was not affected, and obstetric complications (abortion, fetal growth restriction, preterm delivery, and placenta previa) were not observed. Adhesions between the abdominal wall and the surface of the uterus along the previous B-Lynch suture line were observed and irregular, large blood vessels were observed on the surface of the uterus. Further reports are expected to determine the influence of the B-Lynch brace suture technique on the subsequent pregnancy.
B-林奇缝合技术对后续生育能力和妊娠结局的影响尚不清楚。在本报告中，作者描述了一例成功放置B-林奇缝合线后妊娠间隔时间极短的病例，并讨论了相关问题。
一名33岁女性在人工引产及随后发生宫缩乏力性产后出血后接受了剖宫产。放置B-林奇支撑缝合线成功止血并保留了子宫。患者仅在四个月后意外怀孕，使本病例成为报道的涉及B-林奇缝合线手术后最短的妊娠间隔。
在本病例中，生育能力未受影响，未观察到产科并发症（流产、胎儿生长受限、早产和前置胎盘）。观察到腹壁与子宫表面沿先前B-林奇缝合线处有粘连，子宫表面有不规则的大血管。预计未来会有更多报告来确定B-林奇支撑缝合技术对后续妊娠的影响。
