Vol 80, No 3 (2009)
ARTICLES

open access

Page views 516
Article views/downloads 632
Get Citation

Connect on Social Media

Connect on Social Media

Hemodynamic parameters following bilateral internal iliac arteries ligation as a treatment of intrapartum hemorrhage

Piotr Baran, Grzegorz Raba
Ginekol Pol 2009;80(3).

Abstract

Abstract Objective: The internal iliac arteries ligation (IIAL) is a particularly effective method, maintaining fertility, of dealing with intrapartum hemorrhage. Aim: Hemodynamic evaluation of the ovarian arteries(OA) and uterine arteries (UA) in patients after IIAL. Material: Study Group consisted of 6 women who underwent IIAL to treat intrapartum hemorrhage – without hysterectomy. Control Group consisted of 6 women, at the same age group, parity and time after delivery, who did not undergo IIAL. Method: Perfusion characteristics were studied by means of a transvaginal Doppler system. Resistance index (RI), pulsatility index (PI) and systolic/diastolic ratio(S/D) were measured in the uterine and ovarian arteries. Nonparametric comparison of the two groups was performed with the help of Two-sample Wilcoxon rank-sum (Mann-Whitney) test. Results: 1. Change of perfusion in OA- PI: 1.40 vs. 3.76 Prob <0.05; RI: 0.86 vs. 0.91 Prob >0.05; S/D: 3.25 vs. 18.2 Prob <0.05. 2. Change of perfusion in UA- PI: 2.20 vs. 2,75 Prob >0,05; RI 0.82 vs. 0.86 Prob >0.05; S/D: 5.28 vs. 7.81 Prob >0.05. Conclusions: 1. IIAL as a way of treating intrapartum haemorrhage, causes the decrease of pulsatility index(PI) and systolic/diastolic ratio (S/D) in ovarian arteries. 2. Characteristic changes of PI, RI and S/D parameters in uterine arteries after IIAL have not been observed. 3. Changes of ovarian flow velocity parameters suggest the possibility of changes in the ovarian function.

Article available in PDF format

View PDF Download PDF file