Indian Journal of Obstetrics and Gynecology Research
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN: 2394-2746
Online ISSN: 2394-2754
CODEN : IJOGCS
Indian Journal of Obstetrics and Gynecology Research (IJOGR) open access, peer-reviewed quarterly journal publishing since 2014 and is published under auspices of the Innovative Education and Scientific Research Foundation (IESRF), aim to uplift researchers, scholars, academicians, and professionals in all academic and scientific disciplines. IESRF is dedicated to the transfer of technology and research by publishing scientific journals, research content, providing professional’s membership, and conducting conferences, seminars, and award more...Original Article
Author Details :
Volume : 4, Issue : 3, Year : 2017
Article Page : 283-287
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
How to cite : Prabhudev P, Chigateri S, Efficacy of emergency internal iliac artery ligation in controlling post-partum hemorrhage. Indian J Obstet Gynecol Res 2017;4(3):283-287
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