RxPG - the perfect Rx for medical Post Graduate entrance blues!
Mobile Edition | Help/Newbie? | 24/7 Support
HOT | PrePG | MCQ | DNB | Careers | Books | Colleges | Dental | DocIndia | PLAB |  USMLE  | Australia | Canada | GLOBAL | OffBeat!
Articles | Forums | MCQ Crammer | Downloads | Mnemonics | Revision Tools | Recent Shouts | All Features


Lynch suture

Author: RxPG, Posted on Tuesday, September 21 @ 00:00:00 IST by RxPG  

 FRIEND Add to My Pages   PRINTER Printer Friendly   FRIEND Email Story  FRIEND Download Story  Obstetrics alerts 

Obstetrics

B Lynch suture is applied on:
 
1. Cervix.
2. Uterus.
3. Fallopian tubes.
4. Ovaries.
 


Answer
2. Uterus.

Reference
Internet

Quality
Referer !!

Status
New

QTDF
Who knows ??

Discussion
  • The B-Lynch suture, also known as the “brace suture”, was described by Christopher B Lynch and co-workers in 1997 as an alternative surgical method of controlling postpartum haemorrhage due to uterine atony. The method is simple and seems to be effective, although only case reports are available to evaluate the efficacy of the procedure thus far.
·         The technique can be summarised as follows: (see figure 1 in the book)
    1. General anaesthesia, urinary catheter in place and the patient in the Lloyd Davies position.
    2. Pfannenstiel incision usually adequate.
    3. Lower segment uterine incision (as for Caesarean Section) made after dissecting off the bladder.
    4. Bimanual compression of the uterus to assess the potential chance of success of the B-Lynch suturing technique. If bimanual compression controls the bleeding as observed vaginally, the suture is placed.
    5. A no.2 chromic suture on a round bodied needle is used to puncture the uterus about 3 cm below the right hand corner of the lower segment incision and brought out about 3 cm above the same corner (as one would place the first suture when closing this corner of the incision).
    6. From this point the suture is passed over the right hand cornu of the uterus, approximately 3-4cm from the right corneal border, where it may be fixed to prevent it from slipping off the fundus, and then fed posteriorly and vertically down to the same level where the suture has previously left the uterine cavity from anterior.
    7. The suture is then placed through the posterior uterine wall into the cavity under direct vision of the surgeon and back through the posterior wall about 4-5cm left of the previous entry site.
    8. With the suture outside and posterior of the uterine cavity at this stage, it is now passed over the left hand cornu, approximate 3-4cm from the left corneal border, where again it may be fixed to the fundus, then fed anteriorly and vertically down to the level of the left corner of the lower segment incision.
    9. The needle is then passed through the left corner in the same fashion as on the right hand side, to emerge below the incision margin on the left side.
    10. With the suture now in place, the assistant bimanually compresses the uterus while the surgeon pulls the chromic suture taught.
    11. If a third person confirms that the bleeding is controlled (as observed vaginally), the surgeon ties the suture to keep it in position and closes the lower segment uterine incision.

Explanation
Self Explanatory

Comments
Thanks to Dr.Naveen Kansal of Meerut (Author of the book on Q & Ans on PGI Chandigarh Entrance Exam, published by Jaypee brothers) for this text and Diagram


 

------------------------------------------------
Source of this Question:
RxPG AIPG 2004 Book
RxPG BEST SELLER
Author : Dr. J. Mariano Anto Bruno Mascarenhas
Publisher: Jaypee Brothers Medical Publishers, India
Price: 125 Rupees; Availability: All Medical Bookshops, India
Non availability phone helplines:
Delhi
011-23272143, 011-23272703; Bangalore 080-22285971; Chennai 044-28262331; Hyderabad 040-55590020, 040-24758498; Kolkata 033-02451926; Mumbai 022-24124863, 022-24104532
Non availability email helpline:
books at rxpg dot com
VPP Ordering Helpline:
011-23282021



Interested in becoming a RxPG Author?



4 (Excellent) 3(Good) 2(Good) 1(Bad)   


Recommended Books for Obstetrics
• Books to read for Obstetrics by RxPG

Related Obstetrics articles
• Causes of first trimester abortion
• Complication of pregnancy
• Cut-off value of cervical length
• Lynch suture
• Central placenta praevia with heavy bleeding per vaginum
• Ectopic preganancy
• Normal Pregnancy Features
• Deep Transverse Arrest!
• Obstetrics; Daily Free Online Mock Test 112
• Obstetrics; Daily Free Online Mock Test 109
• Obstetrics; Free Online Mock Test 36
• Obstetrics; Free Online Mock Test 32
• Obstetrics; Free Online Mock Test 23

Related Obstetrics Discussions

Other articles by RxPG
• RxPG Interview With Dr Sumit Seth - Civil Services 2005 Top Ranker
• Stroke - Neurology Online Mock Test 235
• Stroke - Neurology Online Mock Test 234
• Stroke - Neurology Online Mock Test 233
• List of Some Bioinformatics Courses in India
• Microbiology and Parasitology Online Mock Test 232
• DNB Online Mock Test 231
• Neurology Online Mock Test 230
• Anatomy Mock MCQ Test 229
• Anatomy Mock MCQ Test 228
• Revisable Quick List of New Drugs for PG Entrance Exams
• Radiology Daily Online Mock Test 228
• Pediatrics Free Online Daily Mock Test 227 - PGI Exam Pattern
• Paediatrics PGIMER PG Entrance Pattern Free Online Mock Test 226
• Paediatrics Free Online PG Entrance Daily Mock Test 225
• Preservatives used while packing catgut suture
• Neurology Free Online Mock Test 223
• Biostatistics Online Mock Test 222
• Neurology Free Online Medical Mock Test 221
• Neurology Free Online Medical Mock Test 220

 Obstetrics FAQ
  Browse all FAQs


Write an Article on Obstetrics
You can share your exam experiences, preparation strategies, books you have read or just any information about Obstetrics on RxPG website and we will publish it under your name.

Article Rating
Average Score: 3.44
Votes: 9




Most Read Article
Deep Transverse Arrest!

Related Links
· Obstetrics Books at Amazon.com
· Discuss Past Papers
· Obstetrics Forum
· mediMOCK Forum






ARTICLE TOOLS

· Obstetrics section
· Articles by RxPG
· Add to my pages
· Printer friendly version
· PDF version
· Email article
· Feedback on this article
· Medical tutorials
· Related forum posts
· Related articles
· Related downloads
· Submit article
· Obstetrics alerts
· Obstetrics books
· Obstetrics past papers


Most read story about Obstetrics:
Deep Transverse Arrest!



Server Status: 194 pages served in last minute. Page generation time: 0.056 seconds

Site Maps: [Books] [News] [Forums] [Reviews] [Mnemonics]

sitemap - top30 - centuries - testimonials


About Us :: Disclaimer :: Contact Us :: Reporting abuse :: Terms of Services :: Privacy Policy

Advertise with RxPG!
Made in India by RxPG Medical Solutions Private Limited

"RxPG" is a Registered Trademark

Chrome Web Store YouTube Twitter LinkedIn Wikipedia Facebook