UTEROCUTANEOUS FISTULA: A RARE COMPLICATION OF B- LYNCH SUTURE

Abstract

Abstract:
B-Lynch suture is a compression suture used to give mechanical compression on the atonic uterus, which results in postpartum hemorrhage. B-Lynch suture helps in avoiding hysterectomy and preserve the fertility of patient. These compression sutures have few complications as well like necrosis of uterine wall, pyometra and septicemia. Here we are reporting a case of placenta previa, who underwent emergency LSCS. During LSCS, she had postpartum hemorrhage that is why B-Lynch suture was applied on uterus to control the postpartum hemorrhage. After three months of surgery, patient presented with nodule discharging pus on stitch line. After all the investigations, patient was diagnosed to have uterocutaneous fistula and managed by surgery.
Keyword: Postpartum hemorrhage, B-Lynch suture, Fistulography