{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T06:40:38Z","timestamp":1792046438706,"version":"4.4.0"},"reference-count":30,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"09","license":[{"start":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T00:00:00Z","timestamp":1634688000000},"content-version":"vor","delay-in-days":49,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To describe the clinical experience with the B-Lynch technique in the management of postpartum hemorrhage as well as the factors related to the indication of the technique and to present the success rates of the application of the B-Lynch technique.<\/jats:p><jats:p>\n          Methods\u2003Observational, retrospective, cross-sectional, and analytical study. Patient data was obtained through the study of medical records. The study population comprised of patients who underwent hemostatic suture using the B-Lynch technique, including 104 patients within the period from January 1, 2005, to December 31, 2019.<\/jats:p><jats:p>\n          Results\u2003Of the total of 104 patients, 82.7% did not present any complications. Blood transfusion and intensive care unit admission were the most prevalent complications, with 13.5% and 15.4%, respectively. Only 1% of the patients had puerperal and surgical site infections. The factors most related to the application of the technique were the presence of previous cesarean section (30.8%), use of oxytocin (16.3%), and preeclampsia (11.6%). Puerperal hysterectomy was performed in 4.8% of the patients due to failure of the method.<\/jats:p><jats:p>\n          Conclusion\u2003The clinical experience with the B-Lynch technique was satisfactory since it presented few complications, with excellent results in hemorrhagic control. Previous cesarean section, the use of oxytocin, and preeclampsia stood out as factors related to the indication of the application of the technique, and the success rate in controlling postpartum hemorrhage was 95.2%.<\/jats:p>","DOI":"10.1055\/s-0041-1735228","type":"journal-article","created":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T22:37:18Z","timestamp":1634769438000},"page":"655-661","source":"Crossref","is-referenced-by-count":10,"title":["Clinical Experience Over 15 Years with the B-Lynch Compression Suture Technique in the Management of Postpartum Hemorrhage"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8161-4893","authenticated-orcid":false,"given":"Gilberto","family":"Nagahama","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Hospital Maternidade Escola de Vila Nova Cachoeirinha, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5345-3861","authenticated-orcid":false,"given":"Henri Augusto","family":"Korkes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Pontif\u00edcia Universidade Cat\u00f3lica de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-1004","authenticated-orcid":false,"given":"Nelson","family":"Sass","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2021,10,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1016\/S0140-6736(15)00838-7","article-title":"Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group","volume":"387","author":"L Alkema","year":"2016","journal-title":"Lancet"},{"key":"ref2","volume-title":"Trends in maternal mortality: 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group, United Nations Population Division","year":"2019"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"S32","DOI":"10.1016\/j.contraception.2014.06.026","article-title":"Improved maternal health since the ICPD: 20 years of progress","volume":"90","author":"T N Thomas","year":"2014","journal-title":"Contraception"},{"issue":"01","key":"ref5","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1053\/j.semperi.2011.09.010","article-title":"Maternal mortality from hemorrhage","volume":"36","author":"S Haeri","year":"2012","journal-title":"Semin Perinatol"},{"issue":"02","key":"ref6","doi-asserted-by":"publisher","first-page":"123","DOI":"10.4274\/jtgga.galenos.2018.2018.0124","article-title":"Step-by-step ligation of the internal iliac artery","volume":"20","author":"\u0130 Sel\u00e7uk","year":"2019","journal-title":"J Turk Ger Gynecol Assoc"},{"issue":"04","key":"ref7","doi-asserted-by":"publisher","first-page":"e168","DOI":"10.1097\/AOG.0000000000002351","article-title":"Practice Bulletin No. 183: postpartum hemorrhage","volume":"130","author":"Committee on Practice Bulletins-Obstetrics","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"03","key":"ref8","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1111\/j.1471-0528.1997.tb11471.x","article-title":"The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? 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