fertility after “only b-lynch” suture: a case report and literature review
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2013
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Abstract
Objective: A new fertility assessment after a B-Lynch suture without a concomitant uterine devascularization is proposed.
Case Report: The case of a 37-year-old woman who experienced postpartum hemorrhage due to uterine atony during cesarean delivery of the previous pregnancy is reported. A B-Lynch brace suturing technique, not associated to any other hemostatic surgical procedure, was carried out. One year later and after an uncomplicated pregnancy of 39 weeks, the patient delivered a healthy infant by an elective cesarean section. Only omental adhesions were found on the anterior surface of the uterus as a consequence of the previous B-Lynch suture.
Conclusion: The B-Lynch hemostatic surgical procedure, alone, does not seem to have a negative impact on fertility. Additional clinical evidences in a greater case-series of patients are needed to assess the value of the method for fertility preservation.
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gerli2013taiwanesefertility
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| Authors | ;Sandro Gerli;Alessandro Favilli;Claudia Giordano;Silvia Pericoli;Elena Laurenti;Gian Carlo Di Renzo |
| Journal | spermova |
| Year | 2013 |
| DOI |
10.1016/j.tjog.2013.01.014
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