Book Review: Arteriography of the Uterine Artery. Its Value in the Diagnosis of Uterine Fibromyoma, Tubal Pregnancy, Adnexal Tumour, and Placental Site Localization in Cases of Intra-Uterine Pregnancy

1955 ◽  
Vol Original Series, Volume 44 (3) ◽  
pp. 267-267
2006 ◽  
Vol 28 (4) ◽  
pp. 481-481
Author(s):  
S. Rigano ◽  
S. Boito ◽  
S. Fiore ◽  
G. Pennati ◽  
A. Padoan ◽  
...  

2021 ◽  
Vol 17 (2) ◽  
pp. 184-187
Author(s):  
Najma Bano Shaikh ◽  
Maria Shabir Shaikh ◽  
Farhana Shaikh ◽  
Nabila Hassan ◽  
Sajida yousfani ◽  
...  

Objective: To determine the efficacy and safety of uterine artery ligation (UAL) in control of Postpartum Hemorrhage. Methodology: This case series study was conducted at Department of Gynecology and Obstetrics Peoples University of Medical & Health Sciences for Women Nawabshah. All the women age between 20-45 years, gestation duration at and beyond 34 weeks, antepartum hemorrhage; intraoperative atonic postpartum hemorrhage and discovery of a placenta accreta; or an adherent placental part after piecemeal removal of the placenta, with bleeding from the placental site were included. After failure of treatment from medical measures, the initial surgical approach of uterine artery ligation (UAL) was done. Efficacy was defined as positive when patient improves or clinically doesn’t develop any complication throughout admission after UAL. Safety was assessed by appearance of side effects if any occurred after procedure. Data was recorded via study proforma and analysis was done by using SPSS version 20. Results: Out of 76 patients admitted of postpartum hemorrhage mean age was 58 years. Most of the patients 59.2% were multiparous and 40.8% were primiparous. The most common cause of postpartum hemorrhage was uterine atony 56.5% and adherent Placenta accreta 43.42%. Most of the patients 81.6% had no postoperative complications except for 11 patients, who had developed gaping of the wound from which they recovered and discharged. The patients required hysterectomy due to intractable hemorrhage and 2.3% mortality was observed due to DIC. Conclusion:  Uterine devascularization by bilateral uterine artery ligation is a simple, effective and the safest initial surgical option with less blood loss and less surgical time for controlling postpartum hemorrhage during cesarean section. It should be used as the first surgical step of choice after medical managements fail in controlling postpartum hemorrhage due to minimal rate of complications and mortality.


1999 ◽  
Vol 16 (1) ◽  
pp. 71
Author(s):  
A. M. Heagerty

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