open access
Small invasive technique of Internal Iliac Artery ligation for postpartum haemorrhage
Affiliations- University of Rzeszow, Poland, Poland
open access
Abstract
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.
Abstract
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.
Keywords
postpartum hemorrhage; surgery; internal iliac artery
Supp./Additional Files (1)
About this articleTitle
Small invasive technique of Internal Iliac Artery ligation for postpartum haemorrhage
Journal
Issue
Article type
Research paper
Pages
29-31
Published online
2020-01-31
Page views
1399
Article views/downloads
1135
DOI
Pubmed
Bibliographic record
Ginekol Pol 2020;91(1):29-31.
Keywords
postpartum hemorrhage
surgery
internal iliac artery
Authors
Grzegorz Raba
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