Kaya, Baris and Güralp, Sahin Onur and Tüten, Abdullah and Unal, Orhan and Celik, Melih Ozgur and Dogan, Askın (2016) Which uterine sparing technique should be used for uterine atony during cesarean section? The Bakri balloon or the B-Lynch suture? Archives of gynecology and obstetrics, 294 (3). pp. 511-517. ISSN 1432-0711

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Abstract

PURPOSE: To evaluate various aspects of two popular uterine sparing techniques, the B-Lynch uterine compression suture and Bakri balloon tamponade, in severe postpartum hemorrhage (PPH). METHODS: 21 women who underwent the Bakri balloon procedure and 24 women who underwent the B-Lynch suture as primary uterus-sparing methods, due to PPH not responding to medical treatment, were retrospectively evaluated. RESULTS: The success rates of the B-Lynch procedure and the Bakri balloon were 79.1 and 80 %, respectively. The success rates of the B-Lynch + IIAL and the Bakri balloon + IIAL were 91.6 and 95 %, respectively. There was no significant difference in success rates, mean duration of time to stop bleeding, estimated blood loss, transfused packed red blood cells or mean duration of hospital stay between the B-Lynch and the Bakri balloon groups. The duration of operation was significantly longer in the Bakri balloon compared to the B-Lynch group (p = 0.01). CONCLUSION: In our study, the Bakri balloon and the B-Lynch suture had similar success rates in uterine atony during CS. The advantages of the B-Lynch suture include rapid application with no need for lithotomy position or extra material; whereas the Bakri balloon is less invasive and easier to learn, but more time consuming and expensive compared to the B-Lynch suture. We suggest that the B-Lynch suture may be preferred in uterine atony during CS in low resource settings; however, the less invasive Bakri balloon should be the first line in full resource settings. Further studies are needed to evaluate the advantages and disadvantages of the two methods.

Item Type:	Article
Uncontrolled Keywords:	B-Lynch suture; Bakri balloon; Cesarean section; Internal iliac artery ligation; Uterine atony
Subjects:	Technology, medicine, applied sciences > Medicine and health
Date Deposited:	14 Mar 2018 10:32
Last Modified:	19 Mar 2019 12:36
URI:	https://oops.uni-oldenburg.de/id/eprint/3551
URN:	urn:nbn:de:gbv:715-oops-36329
DOI:
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