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. 2022 Oct;42(7):3393-3394.
doi: 10.1080/01443615.2022.2106827. Epub 2022 Aug 5.

Temporary cervical sling and uterine twist before B-Lynch for massive uterine bleeding after delivery

Basile Pache  1   2 , Vincent Balaya  1   2 , David Desseauve  1   2
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Free article

Temporary cervical sling and uterine twist before B-Lynch for massive uterine bleeding after delivery

Basile Pache et al. J Obstet Gynaecol. 2022 Oct.
Free article

Abstract

Massive uterine bleeding occurring after delivery is in most cases unpredictable and can have fatal consequences. This article presents the technique of combining the twisting of uterus on a 90° rotation on its axis and positioning a sling around the cervix, allowing to decrease incoming blood flow from uterine and ovarian arteries. The aim of this easy-to-use procedure is to enable surgeons and anaesthesiologists to respectively ensure the presence of an experienced surgeon and to stabilise the haemodynamic of the patient. It is a modus operandi of particular interest in resources' challenged environments.

Keywords: Delivery; intraoperative bleeding; maternal morbidity; postpartum haemorrhage; surgery; uterine atony.

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