Vol 91, No 1 (2020)
Research paper
Published online: 2020-01-31

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Small invasive technique of Internal Iliac Artery ligation for postpartum haemorrhage

Grzegorz Raba1
Pubmed: 32039465
Ginekol Pol 2020;91(1):29-31.


Objectives: Internal Iliac artery ligation (IIAL) is an effective life-saving method to control obstetric hemorrhage, and a hysterectomy
can often be avoided. A standard ligation procedure requires wide tissues dissection: incision in the peritoneum
lateral to and parallel with the ureter. That can be traumatic and is difficult in practice what results in a rare use of IIAL in
surgical emergency. As an alternative a novel, small invasive technique was used, which protocol is attached to the paper
as a video presentation file.
Material and methods: Forty-five women treated by Internal Iliac Artery ligation for postpartum haemorrhage. In 27 patients
(Cohort A) standard IIAL procedure by Kelly’s method was used. In the remaining 18 patients (Cohort B) a novel, small
invasive technique was performed. Time of both surgical procedures of IIAL was measured.
Results: Time of Standard technique of IIAL vs Novel small invasive technique of IIAL: 34 (26–41) min. vs 13 (8–16) min. p < 0.001.
Conclusions: The presented novel small invasive technique of Internal Iliac artery ligation can be an easier and safe alternative
for standard ligation procedure.

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