Combination of B-lynch and modified Cho sutures for postpartum hemorrhage caused by low-lying placenta and placenta accreta.

Many types of uterine packing are attempted to control PPH, including B-Lynch suture, Cho's suture, and so on. A female PPH caused by a low-lying placenta and placenta accreta did not respond to bimanual compression massage, administration of oxytocin and prostaglandins. A combination of B-Lynch with a modified Cho suture were tried to manage the PPH and succeeded. Combining sutures of B-Lynch with a modified Cho suture not only effectively manage PPH but also conserve the uterus, and avoid infection or adhesions of the endometria and empyema in the cavity of uterus.