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Indian Journal of Obstetrics and Gynecology Research


Efficacy of emergency internal iliac artery ligation in controlling post-partum hemorrhage


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Author Details: Prema Prabhudev, Seema Chigateri

Volume : 4

Issue : 3

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 283

Article End Page : 287


Abstract

Management of severe pelvic hemorrhage remains a major challenge in obstetrics as well as gynecology. Bilateral internal iliac artery ligation (BIAL) has been tried in this condition with varying success. The purpose of this study was to review the efficacy of this procedure in women with intractable pelvic hemorrhage.
Materials and Method: An observational study was conducted from 2014 May to 2015 November in the department of Obstetrics and Gynecology, SSIMS & RC Davanagere. During the study period, a total of thirteen emergency internal iliac artery ligationwere performed as lifesaving procedure, along with either stepwise uterine devascularization or cesarean hysterectomy as and when required.
Results: Hemostasis was achieved successfully in ten patients. Of the three patients who required cesarean hysterectomy, one patient died due to multi organ dysfunction following hysterectomy. However, no complications related to BIAL were observed in any of the patient.
Conclusion: BIAL is found to be safe and effective procedure in our study, for treating life threatening obstetric hemorrhage. However, for unknown reasons the procedure is far less practiced than other radical options.

Keywords
: Internal iliac artery ligation, Emergency, Pelvic hemorrhage