Emergency internal iliac artery ligation: Role in prevention of obstetric hysterectomy and maternal death
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 7, Issue 2
Abstract
Postpartum haemorrhage in obstetrics is the leading cause of maternal mortality in India. Emergency internal iliac artery ligation is one of the lifesaving procedures in intractable PPH. This is a retrospective review of emergency internal iliac artery ligations done over a period of 2 years. A total of 16 emergency internal iliac artery ligations were done. Additional treatment procedure required was hysterectomy to control the haemorrhage. Intra and post operative complications were noted. A comparative review of the effectiveness of emergency internal iliac artery ligation in different situations is done. Conclusion was that early resort to emergency internal iliac artery ligation effectively prevents hysterectomy in patients with traumatic and atonic PPH. Emergency internal iliac artery ligation facilitates hysterectomy or repair as indicated and prevents reactionary haemorrhage.
Authors and Affiliations
Ganesh R Tondge, Ranjana Phad
Keywords
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