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Uterine Salvage Using "Modified Lynch Suture"

Uterine Salvage Management For Atonic Postpartum Hemorrhage Using "Modified Lynch Suture"

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
PACTR
Registry ID
PACTR201606001694689
Enrollment
200
Registered
2016-06-24
Start date
2011-01-01
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Surgery Uterine Salvage

Interventions

original b lynch suture
modified sutures

Sponsors

Ain shams university
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: Patients under general anesthesia with atonic postpartum hemorrhage refractory to uterine massage, ecbolics (oxytocin 30 units IM, methergine 0.25 mg, misoprostol 1000 µg rectal) and bimanual compression. If these measures failed, the modified or classic technique was done randomly. 5 minutes later, the patient is observed abdominally and vaginally for bleeding. If bleeding had stopped, closure of the abdomen with intraperitoneal drain is done, but if bleeding still continued, this represents a failure of the compression sutures thus, internal iliac artery ligation or hysterectomy will be done.

Exclusion criteria

Exclusion criteria: Exclusion criteria Patients with traumatic PPH, DIC, bleeding diathesis, retained parts of the placenta or cases with uterine anomalies

Design outcomes

Primary

MeasureTime frame
uterine salvage

Countries

Egypt

Contacts

Public Contactkarim wahba

abbaseya

karimwahbaobgyn@yahoo.com0201001436033

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026