A different approach to placenta previa accreta: intrauterine gauze compress combined B-Lynch uterine compression suture

Abstract

Objective: To retrospectively evaluate the effectiveness of intrauterine gauze compress combined B-Lynch uterine compression suture in placenta previa accreta cases. Materials and Methods: Five patients who experienced postpartum hemorrhage (PPH) due to placenta previa accreta between January 2009 and March 2013 in the present clinics, who were irresponsive to medical therapy, and that had applied intrauterine gauze compress combined B-Lynch uterine compression suture were analyzed retrospectively. Results: Intrauterine gauze compress combined B-Lynch uterine compression sutures were applied in patients in whom medical therapy failed. Intrauterine gauze compresses were removed under sedation. No patients required hysterectomy or any complications. Discussion: B-lynch suture in combination with intrauterine gauze compress can be applied easily in placenta previa accreta cases. This is considered to be a highly successful method.