scholarly journals Exchange of intraoperative balloon occlusion of the internal iliac artery for the common iliac artery during cesarean hysterectomy in a patient with placenta percreta

2013 ◽  
Vol 14 ◽  
pp. 409-411 ◽  
Author(s):  
Kazuyo Kakui
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Balloon Occlusion ◽  
Placenta Percreta ◽  
Cesarean Hysterectomy ◽  
Internal Iliac ◽  
The Common

Internal Iliac Artery Ligation: A Retrospective Analysis of Two Different Approaches

2017 ◽  
Vol 9 (3) ◽  
pp. 230-234
Author(s):  
GS Jyothi
Keyword(s):  
Retrospective Analysis ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Round Ligament ◽  
Artery Ligation ◽  
Internal Iliac Artery Ligation ◽  
Internal Iliac ◽  
Pouch Of Douglas ◽  
The Common

ABSTRACT Aim To describe two different approaches of performing internal iliac artery ligation and their usefulness in different clinical situations. Introduction Internal iliac artery ligation is a very useful method to control pelvic hemorrhage. It can become a necessity at any point of time while performing obstetric or gynecological surgeries, and it is a procedure that needs to be accomplished in a matter of few minutes, before the patient goes into irreversible shock. Techniques Internal iliac artery ligation can be done by approaching the artery by opening the retroperitoneal space, either by dividing the round ligament or by opening the pouch of Douglas. The internal iliac artery is identified by locating the bifurcation of the common iliac artery with the ureter crossing it. The external iliac artery is the lateral branch of the common iliac artery and it runs a straight course to continue as the femoral artery in the lower limb. The ureter is identified by peristalsis, and the internal iliac artery is the short medial branch of the common iliac which runs a short course and immediately divides into an anterior and a posterior division, which in turn divide into a number of branches. The uterine artery is the branch of anterior division of the internal iliac artery. The internal iliac artery is ligated by passing a stout suture material under it with the help of a right-angled forceps, or it can be directly occluded with clips, applied using a clip applicator. Conclusion Both the approaches are equally effective and easy to perform. Approaching the internal iliac artery through the round ligament is easier in gynecological surgeries, whereas the pouch of Douglas approach is easier during cesarean section. Clinical significance Internal iliac artery ligation is almost always performed as an emergency, though the need to perform it can be anticipated in advance and the gynecologist can be prepared for it. It is essential for gynecologists to be conversant with this life and a uterus-saving procedure. There are two approaches of doing this procedure and the choice is entirely on the individual. It may not be possible to approach the pouch of Douglas when there are dense adhesions as in case of a frozen pelvis. And it may be time-consuming to approach the internal iliac artery by dividing the round ligaments when there is postpartum hemorrhage. Therefore, it is useful to know both the approaches, because one might encounter a situation where one may find it difficult to follow the technique one is familiar with. How to cite this article Podder AR, Jyothi GS. Internal Iliac Artery Ligation: A Retrospective Analysis of Two Different Approaches. J South Asian Feder Obst Gynae 2017;9(3):230-234.

scholarly journals Cesarean Hysterectomy for Abnormal Placentation Using Balloon Occlusion of the Common Iliac Artery: Case Series

2017 ◽  
Vol 3 (1) ◽  
pp. 15-20
Author(s):  
Masafumi Koshiyama ◽  
◽  
Shingo Ukita ◽  
Masashi Ueda ◽  
Kenji Hishikawa ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Common Iliac Artery ◽  
Case Series ◽  
Balloon Occlusion ◽  
Abnormal Placentation ◽  
Cesarean Hysterectomy ◽  
The Common

Blunt Traumatic Occlusion of the Common Iliac Artery Repaired With Segmental Excision and Internal Iliac Artery Patch Angioplasty

2017 ◽  
Vol 39 ◽  
pp. 284.e1-284.e4 ◽  
Author(s):  
Abid C. Mogannam ◽  
Robert F. Cubas ◽  
Ivan M. Gutierrez ◽  
Juan A. Astudillo ◽  
Ahmed M. Abou-Zamzam
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Patch Angioplasty ◽  
Internal Iliac ◽  
The Common

Iliac Artery Aneurysms

2017 ◽  
Author(s):  
Amani D Politano ◽  
Kenneth J. Cherry
Keyword(s):  
Iliac Artery ◽  
Open Repair ◽  
Internal Iliac Artery ◽  
Common Iliac Artery ◽  
Artery Aneurysm ◽  
Iliac Artery Aneurysm ◽  
Iliac Arteries ◽  
Internal Iliac ◽  
The Common ◽  
Repair Techniques

The terminal abdominal aorta divides into the common iliac arteries at the L4 level. At the level of the sacrum, the common iliac arteries divide into the external iliac arteries and internal iliac (hypogastric) arteries.  This review covers aneurysms of the iliac arteries, with discussion of the anatomy, clinical evaluation, investigative studies, management, and follow-up imaging. Figures show common presenting configurations of iliac artery aneurysms, examples of open repair techniques for common iliac artery aneurysms, example of internal iliac artery revascularization in the setting of common iliac artery aneurysm repair, examples of endovascular repair techniques for common iliac artery aneurysms, complex hybrid repair of multiple iliac aneurysms, examples of open repair techniques for internal iliac artery aneurysms, and examples of endovascular repair for internal iliac artery aneurysms. Tables list normal diameters reported by the Subcommittee on Reporting Standards for Arterial Aneurysms, rate of growth of aneurysms based on size at presentation, presenting signs and symptoms of iliac artery aneurysm, and location, rupture, and mortality reported in the literature. This review contains 7 highly rendered figures, 4 tables, and 91 references Keywords: Iliac artery aneurysms; IAA; Common iliac artery aneurysms; Internal iliac artery aneurysm; IIAA; External iliac artery aneurysm

Internal Iliac-Artery Balloon Occlusion in a Patient with Placenta Increta During Cesarean Hysterectomy

2014 ◽  
Vol 30 (2) ◽  
pp. 121-123
Author(s):  
Suman Puri ◽  
Bishav Mohan ◽  
Sumati Verma ◽  
Sugam Verma ◽  
Vidushi Bindal ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Balloon Occlusion ◽  
Placenta Increta ◽  
Cesarean Hysterectomy ◽  
Internal Iliac
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