Should medication fail with continued excess bleeding, doctors may recommend surgery. Obstetricians may use conservative ways to effect uterine contraction including bimanual compression of the uterus and placing multiple compressive sutures.
In 1997, Christopher B-Lynch devised an innovative technique to treat uterine atony. Doctors have used this method successfully around the world. Called the “B-Lynch suture,” it can be applied easily and rapidly.
The B-Lynch suture is a continuous suture to envelope and mechanically compress the uterus. This is an attempt to avoid a hysterectomy.
Two tamponade techniques have been cited for effectiveness. One involves uterine packing with gauze while another involves inserting a Bakri balloon.
Other surgical management techniques are available. Namely, uterine curettage for retained products, uterine artery ligation, hypogastric artery ligation, and finally, if all else fails, a hysterectomy.
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