The effect of B-Lynch uterine compression suture performed for uterine atony on future menstrual pattern and reproductive outcome

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Kaplanoglu D., Bulbul M., KAPLANOĞLU M., Dilbaz B.

Ginekologia Polska, cilt.95, sa.9, ss.687-692, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 95 Sayı: 9
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5603/gpl.92963
  • Dergi Adı: Ginekologia Polska
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, Gender Studies Database, Directory of Open Access Journals
  • Sayfa Sayıları: ss.687-692
  • Anahtar Kelimeler: B-Lynch uterine compression suture, dysmenorrhea, dyspareunia, fertility, menstrual regularity, postpartum hemorrhage
  • Çukurova Üniversitesi Adresli: Evet

Özet

Objectives: The effects of B-Lynch (UCS) compression sutures applied in postpartum hemorrhage cases due to uterine atony on menstrual pattern, fertility, obstetric outcomes, dysmenorrhea and dyspareunia were evaluated. Material and methods: Between January 2012 and March 2017, 77 patients (study group 37, control group 40) diagnosed postpartum hemorrhage in our clinic were included in the study. The long-term results of the patients were evaluated comparatively. Results: In the B-Lynch UCS group, an increase in the postoperative menstrual cycle length and the intensity of dyspareunia measured by the VAS score, and a statistically significant decrease in the duration of menstrual bleeding were observed. In the control group, a decrease in the self-estimated time of postpartum menstrual bleeding and a statistically significant increase in dyspareunia VAS values were observed. There was a statistically significant difference between the groups in terms of menstrual cycle length only after treatment. Conclusions: B-Lynch UCS can be used effectively and safely in PPH due to uterine atony without causing any additional pathology in menstrual pattern, fertility, dysmenorrhea and dyspareunia complaints other than the length of the menstrual cycle.