Abstract

 Background: B-Lynch stitch technique, a standard approach for the management of postpartum hemorrhage (PPH), is associated with potential risks of blood entrapment, cavity occlusion, and infections that cannot be overlooked.

Objective: To share the clinical perspective of controlling PPH by COMOC-MG, a modified B-Lynch stitch technique

Materials and Methods: Medical records of all women managed by the COMOC-MG stitch technique, in a tertiary care center, from January 2012 to January 2020 for PPH were reviewed.

Results: Nineteen women were managed by COMOC-MG stitch technique. The estimated stitch time was 4�5 minutes. No additional surgery was needed in all of the cases. Seventeen (89%) women did not receive any blood transfusion. Twelve (63%) women reported restoration of their menses. One full-term pregnancy was reported six years after COMOC-MG stitch technique. Postoperative lower abdominal pain was reported in three cases. No cases of uterine infections, other late complications, or death were reported. Limitations: Retrospective nature and small sample size are important limitations of this article.

Conclusion: The COMOC-MG stitch technique is simple and easy to perform, with a single puncture required on each side of the uterus. It also has the potential to reduce postpartum transfusion requirements and hysterectomy rates in women with PPH. It avoids uterine infection by respecting the uterine cavity and may help maintain fertility.