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Indian Journal of Obstetrics and Gynecology Research


An Analysis of Efficacy of Uterine Artery Embolization in Obstetrics and Gynaecology - A study in a Rural Medical College & General Hospital


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Author Details: K GangadharaRao, K Prabha Devi, K Lakshminarayana, K Ramalingam, Biju Govind, D Ankamma Rao

Volume : 3

Issue : 1

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 59

Article End Page : 64


Abstract

Objectives: To evaluate the success of uterine artery embolization (UAE) in Obstetric Hemorrhage and heavy menstrual bleeding with Gynaecological disorders.
Methods: Uterine artery is accessed by catheterizing femoral artery. First contra lateral and then ipsi lateral uterine artery is catheterized and embolization done with gel foam / poly vinyl alcohol (PVA)/ pellets/coils. All these patients with obstetric haemorrhage and Gynaecological cases with heavy menstrual bleeding, during the period January, 2008 to September, 2015were included. Those patients with cancer, poorly controlled diabetes mellitus, with active infection, history of radiation, patients with renal disease, allergy to contrast media were excluded from this study.
Results: We performed 15 cases of uterine artery embolizaiton out of which 5 cases were pseudo aneurysm (secondary PPH) of uterine artery. Mean age of the patient was 24 years and one case among them required hysterectomy. The other indications were cervical ectopic pregnancy (1), cervical molar pregnancy (1), Fibroids (6), AV malformations (2) of uterus.
Conclusion: Uterine artery embolization is very effective method to control haemorrhage and hysterectomy can be avoided to preserve fertility or in any other conditions.

Key words:
Uterine artery embolization, Haemorrhage