PROPHYLACTIC BILATERAL INTERNAL ILIAC ARTERY LIGATION, IN PREVENTION OF PPH, IN A CASE OF MULTIPLE LARGE INTRA MURAL FIBROIDS

Internal Iliac ◽

Excessive Blood Loss

Postpartum haemorrhage is dened as a blood loss of more than 500ml after delivery of the placenta. It is a clinical diagnosis that encompasses excessive blood loss after delivery of the baby from a variety of sites: uterus, cervix, 1 vagina and perineum

Authors response to: Internal iliac artery ligation for arresting postpartum haemorrhage

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2007.01361.x ◽

2007 ◽

Vol 114 (7) ◽

pp. 906-907

Keyword(s):

Iliac Artery ◽

Postpartum Haemorrhage ◽

Internal Iliac Artery ◽

Artery Ligation ◽

Internal iliac artery ligation for arresting postpartum haemorrhage

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2007.01360.x ◽

2007 ◽

Vol 114 (7) ◽

pp. 906-906

Keyword(s):

Iliac Artery ◽

Postpartum Haemorrhage ◽

Internal Iliac Artery ◽

Artery Ligation ◽

Small invasive technique of Internal Iliac Artery ligation for postpartum haemorrhage

Ginekologia Polska ◽

10.5603/gp.2020.0007 ◽

2020 ◽

Vol 91 (1) ◽

pp. 29-31 ◽

Cited By ~ 1

Author(s):

Grzegorz Raba

Keyword(s):

Iliac Artery ◽

Postpartum Haemorrhage ◽

Internal Iliac Artery ◽

Invasive Technique ◽

Artery Ligation ◽

How B-Lynch suture and bilateral internal iliac artery ligation saved the uterus of a young patient with severe postpartum haemorrhage

BMJ Case Reports ◽

10.1136/bcr-2021-244226 ◽

2021 ◽

Vol 14 (8) ◽

pp. e244226

Author(s):

San San Win ◽

Helen Benedict Lasimbang ◽

Sai Nay Lynn AUng ◽

Tat Boon Yeap

Keyword(s):

Young Patient ◽

Iliac Artery ◽

Postpartum Haemorrhage ◽

Internal Iliac Artery ◽

Artery Ligation ◽

Obstetric Haemorrhage ◽

Future Fertility ◽

Obstetric Emergencies ◽

Obstetric haemorrhage is the leading cause of maternal death worldwide (27.1%) and more than 66% of its deaths were classified as postpartum haemorrhage (PPH). The most common cause of PPH is uterine atony. Obstetrician should be skillful in managing obstetric emergencies; especially pertaining to PPH. Application of the B-Lynch suture on an atonic uterus is one of the surgical options in PPH patients who wish to conserve the uterus and it has a very high success rate.We present a primigravida patient who developed massive primary PPH followed by disseminated intravascular coagulation, which was successfully managed with B-Lynch suture and bilateral internal iliac artery ligation. We described in detail regarding the management of massive PPH and application of these surgical procedures on the atonic uterus with an attempt to preserve the uterus and future fertility in this young patient.

The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta

QJM ◽

10.1093/qjmed/hcab115.002 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Magdy Mohamed kamal Yousef ◽

Ahmed Mohamed Rateb ◽

Ahmed Mohsen Hassan Mohamed

Keyword(s):

Blood Loss ◽

Iliac Artery ◽

Internal Iliac Artery ◽

Artery Ligation ◽

Cesarean Hysterectomy ◽

Internal Iliac ◽

Invasive Placenta ◽

Abnormally Invasive Placenta

Abstract Background Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.