B-Lynch Suture
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B-Lynch Suture
The B-Lynch suture or B-Lynch procedure is a form of compression suture used in obstetrics. It is used to mechanically compress an atonic uterus in the face of severe postpartum hemorrhage. It was developed by Christopher B-Lynch, a consultant obstetrician and gynaecological surgeon based at Milton Keynes General Hospital, Milton Keynes, Buckinghamshire, England. B-Lynch was born in 1947 in Sierra Leone Sierra Leone,)]. officially the Republic of Sierra Leone, is a country on the southwest coast of West Africa. It is bordered by Liberia to the southeast and Guinea surrounds the northern half of the nation. Covering a total area of , Sierr ... with the birth name of Christopher Balogun-Lynch. The technique was first described in 1997. It can stop postpartum hemorrhage without the need for pelvic surgery and potentially preserving fertility. It is regarded as "the best form of surgical approach for controlling atonic PPH as it helps in preserving the anatomical integrit ...
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Surgical Suture
A surgical suture, also known as a stitch or stitches, is a medical device used to hold body tissues together and approximate wound edges after an injury or surgery. Application generally involves using a needle with an attached length of thread. There are numerous types of suture which differ by needle shape and size as well as thread material and characteristics. Selection of surgical suture should be determined by the characteristics and location of the wound or the specific body tissues being approximated. In selecting the needle, thread, and suturing technique to use for a specific patient, a medical care provider must consider the tensile strength of the specific suture thread needed to efficiently hold the tissues together depending on the mechanical and shear forces acting on the wound as well as the thickness of the tissue being approximated. One must also consider the elasticity of the thread and ability to adapt to different tissues, as well as the memory of the threa ...
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Obstetrics
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field. Main areas Prenatal care Prenatal care is important in screening for various complications of pregnancy. This includes routine office visits with physical exams and routine lab tests along with telehealth care for women with low-risk pregnancies: Image:Ultrasound_image_of_a_fetus.jpg, 3D ultrasound of fetus (about 14 weeks gestational age) Image:Sucking his thumb and waving.jpg, Fetus at 17 weeks Image:3dultrasound 20 weeks.jpg, Fetus at 20 weeks First trimester Routine tests in the first trimester of pregnancy generally include: * Complete blood count * Blood type ** Rh-negative antenatal patients should receive RhoGAM at 28 weeks to prevent Rh disease. * Indirect Coombs test (AGT) to assess risk of hemolytic dis ...
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Uterine Atony
Uterine atony is the failure of the uterus to contract adequately following delivery. Contraction of the uterine muscles during labor compresses the blood vessels and slows flow, which helps prevent hemorrhage and facilitates coagulation. Therefore, a lack of uterine muscle contraction can lead to an acute hemorrhage, as the vasculature is not being sufficiently compressed. Text was copied from this source, which is available under Creative Commons Attribution 4.0 International License Uterine atony is the most common cause of postpartum hemorrhage, which is an emergency and potential cause of fatality. Across the globe, postpartum hemorrhage is among the top five causes of maternal death. Recognition of the warning signs of uterine atony in the setting of extensive postpartum bleeding should initiate interventions aimed at regaining stable uterine contraction. Risk factors There are many risk factors for uterine atony and several are due to the type of labor a mother experience ...
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Postpartum Hemorrhage
Postpartum bleeding or postpartum hemorrhage (PPH) is often defined as the loss of more than 500 ml or 1,000 ml of blood following childbirth. Some have added the requirement that there also be signs or symptoms of low blood volume for the condition to exist. Signs and symptoms may initially include: an increased heart rate, feeling faint upon standing, and an increased breathing rate. As more blood is lost, the patient may feel cold, blood pressure may drop, and they may become restless or unconscious. The condition can occur up to six weeks following delivery. The most common cause is poor contraction of the uterus following childbirth. Not all of the placenta being delivered, a tear of the uterus, or poor blood clotting are other possible causes. It occurs more commonly in those who: already have a low amount of red blood, are Asian, with bigger or more than one baby, are obese or are older than 40 years of age. It also occurs more commonly following caesarean s ...
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Milton Keynes General Hospital
Milton Keynes University Hospital is a district general hospital serving Milton Keynes, its local authority area and the surrounding area of north Buckinghamshire, south Northamptonshire and north-west Bedfordshire. It is located in the Eaglestone neighbourhood, and opened in 1984. It is managed by Milton Keynes University Hospital NHS Foundation Trust. With the projected further growth of Milton Keynes and its population the hospital expects to be expanding its services over the next 20 years. The hospital has an association with the University of Buckingham Medical School. History Although Milton Keynes built up rapidly in the 1960s and 1970s, its growing population had to rely on Stoke Mandeville Hospital and Northampton General Hospital. A campaign "Milton Keynes is Dying for a Hospital" was mounted in the 1970s, leading to the construction of a four-ward community hospital that opened in 1979. At the opening of the shopping building in September 1979, Lord Campbell su ...
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Milton Keynes
Milton Keynes ( ) is a city and the largest settlement in Buckinghamshire, England, about north-west of London. At the 2021 Census, the population of its urban area was over . The River Great Ouse forms its northern boundary; a tributary, the River Ouzel, meanders through its linear parks and balancing lakes. Approximately 25% of the urban area is parkland or woodland and includes two Sites of Special Scientific Interest (SSSIs). In the 1960s, the UK government decided that a further generation of new towns in the South East of England was needed to relieve housing congestion in London. This new town (in planning documents, 'new city'), Milton Keynes, was to be the biggest yet, with a target population of 250,000 and a 'designated area' of about . At designation, its area incorporated the existing towns of Bletchley, Fenny Stratford, Wolverton and Stony Stratford, along with another fifteen villages and farmland in between. These settlements had an extensive historical ...
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Sierra Leone
Sierra Leone,)]. officially the Republic of Sierra Leone, is a country on the southwest coast of West Africa. It is bordered by Liberia to the southeast and Guinea surrounds the northern half of the nation. Covering a total area of , Sierra Leone has a tropical climate, with diverse environments ranging from savanna to rainforests. The country has a population of 7,092,113 as of the 2015 census. The capital and largest city is Freetown. The country is divided into five administrative regions, which are subdivided into Districts of Sierra Leone, 16 districts. Sierra Leone is a constitutional republic with a unicameral parliament and a directly elected executive president, president serving a five-year term with a maximum of two terms. The current president is Julius Maada Bio. Sierra Leone is a Secular state, secular nation with Constitution of Sierra Leone, the constitution providing for the separation of state and religion and freedom of conscience (which includes freedom of ...
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