Display options
Cite
Vetere PF, Wayock CP, Muscat J, et al. A novel approach to teaching placement of a B-lynch suture: description of technique and validation of teaching model. J Grad Med Educ. 2012;4(3):367-9doi: 10.4300/JGME-D-11-00186.1.
Vetere, P. F., Wayock, C. P., Muscat, J., & Sicuranza, G. (2012). A novel approach to teaching placement of a B-lynch suture: description of technique and validation of teaching model. Journal of graduate medical education, 4(3), 367-9. https://doi.org/10.4300/JGME-D-11-00186.1
Vetere, Patrick F, et al. "A novel approach to teaching placement of a B-lynch suture: description of technique and validation of teaching model." Journal of graduate medical education vol. 4,3 (2012): 367-9. doi: https://doi.org/10.4300/JGME-D-11-00186.1
Vetere PF, Wayock CP, Muscat J, Sicuranza G. A novel approach to teaching placement of a B-lynch suture: description of technique and validation of teaching model. J Grad Med Educ. 2012 Sep;4(3):367-9. doi: 10.4300/JGME-D-11-00186.1. PMID: 23997884; PMCID: PMC3444193.
Copy Download .nbib Format: NLM
Share it on

J Grad Med Educ. 2012 Sep;4(3):367-9. doi: 10.4300/JGME-D-11-00186.1.

A novel approach to teaching placement of a B-lynch suture: description of technique and validation of teaching model.

Journal of graduate medical education

Patrick F Vetere, Christopher P Wayock, Jolene Muscat, Genevieve Sicuranza

PMID: 23997884 PMCID: PMC3444193 DOI: 10.4300/JGME-D-11-00186.1

Abstract

INTRODUCTION: Postpartum hemorrhage is a major cause of maternal morbidity and mortality throughout the world and uterine atony is the leading cause of postpartum hemorrhage. The B-Lynch brace suture is a fertility-sparing approach to treating intractable uterine atony at the time of cesarean delivery. However, many obstetricians lack confidence to perform this procedure, which they may not have performed during residency. In order to train all residents to perform the B-Lynch brace suture, we developed a realistic model by using a flank steak to imitate a gravid uterus.

METHODS: A convenience sample of obstetrics-gynecology faculty and residents at different levels of training at a single large hospital participated in this pilot project. Each physician reported self-perceived understanding of and confidence in performing the B-Lynch procedure before and immediately after practicing the technique using the flank-steak model, via a Likert-type survey (scale 1  =  low, 5  =  high). A Wilcoxon matched-pairs signed rank test was used to compare the before and after responses.

RESULTS: Thirty-four participants completed the flank-steak model training and pretraining/posttraining surveys. The median score (range) for self-perceived understanding was 4 (2-5) and increased to 5 (4-5) (P < .01) after exposure to the training model. The confidence scores rose from 3 (1-5) to 5 (4-5) (P < .01) after training.

CONCLUSION: The flank-steak model for teaching the B-Lynch suture significantly improved resident and faculty self-perceived understanding of and confidence in performing this procedure, which is otherwise rarely practiced in residency.

References

  1. Br J Obstet Gynaecol. 1997 Mar;104(3):275-7 - PubMed
  2. BJOG. 2006 Apr;113(4):486-8 - PubMed
  3. Br J Obstet Gynaecol. 1997 Mar;104(3):372-5 - PubMed
  4. J Matern Fetal Med. 2000 May-Jun;9(3):194-6 - PubMed
  5. Int J Fertil Womens Med. 2005 Jul-Aug;50(4):148-63 - PubMed
  6. J Obstet Gynaecol. 2006 May;26(4):297-301 - PubMed

Publication Types