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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 9, Issue 3, January 2014 pp 461-464
Role of Internal Iliac Artery Ligation in Control of Pelvic Haemorrhage
Yamini Patil*, Dilip Kathiriya**, N. S. Kshirsagar***, Sneha Nagar**
*Associate Professor, **Resident, ***Professor, Department of OBGY, KIMSDU, Karad, Maharashtra, INDIA.
Academic Editor : Dr. Aher K. R.
Aims and objectives: Haemorrhage in pregnancy is the leading cause of maternal mortality in developing countries. Internal iliac artery ligation is one of the life saving procedure in intractable pelvic haemorrhage. Present study aims at sharing author’s experience about usefulness of this surgical procedure in arrest of pelvic haemorrhage and to remove the inhibition among practicing gynaecologists regarding this procedure. In my study, 28 cases of pelvic haemorrhage were managed by internal iliac artery ligation over 5 year period at tertiary care centre. Haemorrhage could be arrested in all cases. Materials and methods: Study comprised of analysis of 28 cases of internal iliac artery ligation performed by author over 5 year’s period at Krishna institute of Medical Science, Karad which is the only tertiary centre, treating majority of complicated and high risk obstetrical cases. This was done as a life saving measure to control pelvic haemorrhage. All cases were done by intra-peritoneal route. Associated operation like subtotal hysterectomy, total hysterectomy was done when indicated. Data analysis was done in relation to indications, complications and success rate related to the surgical procedure. Results: It is relatively simple operation, when performed by surgeon having adequate knowledge of pelvic anatomy.Bilateral internal iliac artery ligation is an effective life saving method to control obstetrical and gynaecological haemorrhage and a hysterectomy can often be avoided. In my study success rate was 93 percentages without any complication. Conclusion: It is important for every pelvic surgeon to learn life saving procedure like internal iliac artery ligation. Although, it may not always be effective in control of pelvic haemorrhage, it is more conservative procedure than obstetric hysterectomy in young women with intractable pelvic haemorrhage, involving lesser morbidity and giving chance of future fertility.