Ligation of internal iliac arteries for severe hemorrhage in obstetric
Keywords:
Postpartum hemorrhage; Internal iliac artery; Hysterectomy; Complications.Abstract
Aim: To assess the efficiency of arteries ligation in intractable obstetrical hemorrhage.Methods: Prospective study which concerned 53 patients who underwent internal iliac arteries ligation for persistent and severe obstetrical hemorrhage from January 2007 to June 2010.
Results: The average age of patients was 29.3 years. The mean parity was 2.2. Main etiology of hemorrhage were: uterine atony (62.2%), abruptio placentae (15.1%). Coagulation disorders and hypovolemic shock were observed respectively in 20.7 % and 37.7%. Blood transfusion was performed in all cases. Internal iliac arteries ligation allowed hemorrhage control in 90.5 % of cases. In five cases a hysterectomy was necessary to control bleeding.. No peroperative complication were observed.
Conclusion: Internal iliac arteries ligation is a prerequisite treatment of severe postpartum hemorrhage. It is a good alternative to arterial embolization.
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References
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