Fertility after “only B-Lynch” suture: A case report and literature review

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.

Keywords

• B-Lynch suture
• fertility
• postpartum hemorrhage
• pregnancy
• uterine atony