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©2013 UpToDate ® Print Email Combined Bakri balloon, plus Bilateral Looped Uterine Vessels Sutures (B-LUVS) technique in case of cesarean delivery. (A) The double loop suture technique should include the full thickness of the lateral uterine wall. For the first stitch, the needle is brought through the eye of the loop, thus eliminating the need for a knot. (B) The looped sutures are placed stepwise up the side of the uterus bilaterally, including both lower and upper uterine segments. The loop is cut prior to the last stitch, the last stitch is taken and the two ends are tied. The balloon catheter is inserted at this time. Courtesy of Younes N Bakri, MD.