Emergency internal iliac artery ligation: Role in prevention of obstetric hysterectomy and maternal death

Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 7, Issue 2

Abstract

Postpartum haemorrhage in obstetrics is the leading cause of maternal mortality in India. Emergency internal iliac artery ligation is one of the lifesaving procedures in intractable PPH. This is a retrospective review of emergency internal iliac artery ligations done over a period of 2 years. A total of 16 emergency internal iliac artery ligations were done. Additional treatment procedure required was hysterectomy to control the haemorrhage. Intra and post operative complications were noted. A comparative review of the effectiveness of emergency internal iliac artery ligation in different situations is done. Conclusion was that early resort to emergency internal iliac artery ligation effectively prevents hysterectomy in patients with traumatic and atonic PPH. Emergency internal iliac artery ligation facilitates hysterectomy or repair as indicated and prevents reactionary haemorrhage.

Authors and Affiliations

Ganesh R Tondge, Ranjana Phad

Keywords

Related Articles

Comparative study of maternal and foetal outcome in eclampsia and in normotensive patients

Background: Incidence of eclampsia in pregnancy in India ranges from 0.94% to 1.8%. In all pregnancies eclampsia accounts for about 50000 maternal deaths a year worldwide.2 The World Health Organization (WHO) estimates t...

Study of eclampsia: A retrospective analysis

Background: Eclampsia is a fatal disorder among pregnant women. Throughout the world, eclampsia remains an important cause of maternal mortality, accounting about 50,000 deaths worldwide. Preeclampsia and eclampsia occur...

Factors affecting prevalence of gestational diabetes mellitus in pregnant women

Background: Gestational Diabetes Mellitus causes life threatening complications to the mother and the foetus. Prevalent progression of Gestational Diabetes Mellitus leads to type 2 diabetes in future. Identification of t...

Knowledge, attitude and behaviour of women towards abnormal menstrual bleeding

Background: AMB is an important cause of female morbidity and one of the most common complaints with which patient presents to gynaecology outpatients department. Abnormal menstrual bleeding was defined subjectively as b...

Evaluation of prevalence and impact of Striae gravidarum on the dermatology - Specific quality of life in pregnant women

Background: During pregnancy many skin changes may be experienced by a woman. Striae gravidarum (SG) is the commonest physiological skin change which seems to be undesirable. Striae gravidarum are frequently found as lin...

Download PDF file
  • EP ID EP470747
  • DOI 10.26611/1012721
  • Views 167
  • Downloads 0

How To Cite

Ganesh R Tondge, Ranjana Phad (2018). Emergency internal iliac artery ligation: Role in prevention of obstetric hysterectomy and maternal death. Medpulse International Journal of Gynaecology, 7(2), 47-49. https://europub.co.uk./articles/-A-470747