20/07/2025
💜
AJOG Expert Review in Labor: Uterine-sparing surgical procedures to control postpartum hemorrhage - Bhal’s uterine compression technique
A, This has the advantage of uterine compression based on B-Lynch’s principles (braces) and can be performed with the incision closed. B, For each brace, the needle goes through only twice: the first passage of the needle (1) goes through the anterior and posterior uterine walls, 3 cm beneath the (closed) incision. The suture thus moves along the posterolateral wall of the uterus, toward the uterine fundus, and then goes back down along the anterolateral wall of the uterus. The needle then transfixes the anterior wall of the uterus, 3 cm above the (closed) incision to reemerge 2 cm below the incision (exit point 3), or 1 cm above the first input point (A). The same procedure is performed for the second, that is, left brace. C, The strands of the primary exit points (3 and 6) of the 2 braces are then tied together (forming a first transverse suture at the lower segment, 3 cm under the incision); the strands of the primary entrance points (1 and 4) of the 2 braces are then tied together (forming a second transverse suture at the level of the lower segment, 4 cm under the incision). https://ow.ly/vggo50SF3cS
