The Role of Uterine Artery Ligation in Increasing Feasibility and Safety of Myomectomy During Cesarean Section

Uterine artery pseudoaneurysm is a rare but serious complication of cesarean section. If inadequately treated, it can lead to life-threatening postpartum hemorrhage. Herein, we report the case of a 28-year-old woman who developed secondary postpartum hemorrhage resulting from uterine artery pseudoaneurysm and cesarean scar dehiscence after cesarean section. Angiographic embolization is a safe and effective procedure for treating postpartum hemorrhage resulting from pseudoaneurysm in hemodynamically stable patients. However, uterine artery ligation may be the surgical procedure of choice for hemodynamically unstable patients when fertility preservation is desired.

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Uterine artery ligation for treatment of pregnant women with uterine leiomyomas who are undergoing cesarean section

Fertility and Sterility ◽

10.1016/j.fertnstert.2006.01.027 ◽

2006 ◽

Vol 86 (2) ◽

pp. 423-428 ◽

Cited By ~ 39

Author(s):

Wei-Min Liu ◽

Peng-Hui Wang ◽

Wun-Long Tang ◽

I.-Te Wang ◽

Chii-Reuy Tzeng

Keyword(s):

Cesarean Section ◽

Pregnant Women ◽

Uterine Artery ◽

Uterine Leiomyomas ◽

Artery Ligation ◽

Uterine Artery Ligation

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The Bakri balloon implementation during cesarean section without switching to the lithotomy position

Case Reports in Perinatal Medicine ◽

10.1515/crpm-2015-0078 ◽

2016 ◽

Vol 5 (2) ◽

pp. 81-84 ◽

Cited By ~ 1

Author(s):

Baris Kaya ◽

Abdullah Tuten ◽

Onur Guralp

Keyword(s):

Cesarean Section ◽

Uterine Artery ◽

Placenta Previa ◽

Daily Practice ◽

Lithotomy Position ◽

Artery Ligation ◽

Excessive Bleeding ◽

Uterine Artery Ligation ◽

First Time ◽

Bakri Balloon

Abstract Bakri balloon implementations for the conservative management of postpartum hemorrhage (PPH) have become more popular in the recent years. The procedure may be regarded as simple, however, it can become a challenging method considering an excessive bleeding patient where there is a race against time. In our daily practice we do not usually use the lithotomy position except for few conditions such as placenta previa, where the lithotomy position is necessary to apply a Bakri balloon during PPH during a cesarean section. Here we would like to present a woman with uterine atony and fundal placenta accreta bleeding, managed with the Bakri balloon without switching to the lithotomy position for the first time in the literature. The bleeding was evaluated successfully with this new method, however, a cesarean hysterectomy was necessary to achieve hemostasis despite the addition of a bilateral uterine artery ligation at the end. The decision to add a vessel ligation to the inflated Bakri balloon should be assessed carefully as uterine artery ligation may be time consuming due to effort of avoiding puncturing the balloon. On the other hand, internal illiac artery ligation may be more advantageous if the surgeon is experienced.

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805: Evidence for the role of IL-6 in a rat model of intrauterine growth restriction by uterine artery ligation and magnesium mediated protection

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2013.10.838 ◽

2014 ◽

Vol 210 (1) ◽

pp. S392

Author(s):

Amanda Roman ◽

Prodyot Chatterjee ◽

Madhu Gupta ◽

Malvika Solanki ◽

Xiangying Xue ◽

...

Keyword(s):

Rat Model ◽

Intrauterine Growth Restriction ◽

Uterine Artery ◽

Growth Restriction ◽

Artery Ligation ◽

Intrauterine Growth ◽

Uterine Artery Ligation

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Total Uterine Necrosis: A Complication of B-Lynch Suture

Journal of SAFOG with DVD ◽

10.5005/jp-journals-10006-1176 ◽

2012 ◽

Vol 4 (1) ◽

pp. 61-63 ◽

Cited By ~ 3

Author(s):

Sheela Jain ◽

Savita A Somalwar ◽

Sulbha A Joshi ◽

Anjali S Kawthalkar ◽

Sadhana Mahore

Keyword(s):

Cesarean Section ◽

South Asian ◽

Uterine Artery ◽

Uterine Wall ◽

Artery Ligation ◽

Common Cause ◽

Mortality And Morbidity ◽

Uterine Artery Ligation ◽

Maternal Mortality And Morbidity ◽

Transverse Lie

ABSTRACT Uterine atony is the most common cause of postpartum hemorrhage (PPH) which leads to maternal mortality and morbidity. Herewith reporting a case of 35-year-old woman who underwent cesarean section for transverse lie with hand prolapse. She had atonic PPH for which uterine artery ligation was done along with B-lynch suture. She had subinvolution of uterus secondary to multiple abscesses in uterine wall. She underwent subtotal hystrectomy. Hispathology showed uterine necrosis. How to cite this article Somalwar SA, Joshi SA, Bhalerao AV, Kawthalkar AS, Jain S, Mahore S. Total Uterine Necrosis: A Complication of B-Lynch Suture. J South Asian Feder Obst Gynae 2012;4(1):61-63.

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The Efficiency of Temporary Uterine Artery Ligation on Prevention of the Bleeding in Cesarean Section

Gynecologic and Obstetric Investigation ◽

10.1159/000519370 ◽

2021 ◽

pp. 1-8

Author(s):

Recep Erin ◽

Ahmed İssak ◽

Kübra Baki Erin ◽

Deniz Kulaksiz ◽

Yeşim Bayoğlu Tekin

Keyword(s):

Cesarean Section ◽

Uterine Artery ◽

Mean Value ◽

Controlled Study ◽

Closing Time ◽

Artery Ligation ◽

Uterine Incision ◽

Uterine Artery Ligation ◽

Before And After ◽

Difference Operation

Objective: We aimed to evaluate the effect of temporary ligation of the uterine artery on postpartum bleeding during uncomplicated cesarean section. Design: This was a prospective, randomized, and controlled study. We recruited a total of 200 patients, including 100 cases and 100 controls. Methods: The bilateral uterine artery was temporarily clamped 2 cm below the uterine incision in the study group and compared with controls. Patient demographics, the amount of intraoperative bleeding, the duration of the operation, the closure time of the uterine incision, the need for additional uterotonics, the need for additional sutures, and the hemoglobin values before and after birth were assessed. Results: The mean value of the amount of bleeding in the clamped and control groups was 267.3 ± 131.8 mL and 390.2 ± 116.4 mL, respectively. The amount of bleeding was significantly decreased for clamped group (p < 0.001). A significant reduction occurred in the results of pre- and postoperative values of hemoglobin and hematocrit difference, operation duration, and the closing time of the uterine incision in the experimental group which has temporary uterine artery clamping. Limitations: The cases of recurrent cesareans were not included in this study. Conclusion: Temporary uterine artery ligation can be used to reduce the amount of bleeding during uncomplicated cesarean delivery and prevent postpartum hemorrhage.

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