IMR Press / CEOG / Volume 40 / Issue 1 / pii/1630388031176-1481256848

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Origianal Research
Bilateral hypogastric artery ligation in emergency setting for intractable postpartum hemorrhage: a secondary care center experience
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1 Anatolia IVF Center, Ankara
2 Middle East Health Center, Sanliurfa (Turkey)
Clin. Exp. Obstet. Gynecol. 2013, 40(1), 85–88;
Published: 10 March 2013
Abstract

Objective: To report the authors’ experience in bilateral hypogastric (internal iliac) artery ligation which was performed for controlling intractable postpartum hemorrhage in a secondary care center. Materials and Methods: The patients that required bilateral hypogastric artery ligation for severe intractable postpartum hemorrhage from November 2007 to August 2009 were included in this retrospective study. Data were retrieved from patients’ hospital records. Results: A total of 26 cases required hypogastric artery ligation during the study period. Causes of postpartum hemorrhage included uterine atony, placental abruption, uterine rupture, and placenta accreta. Hemorrhage was effectively controlled in 20 of 26 cases (76.9%) and hysterectomy was avoided. Iliac vein injury occurred in one patient (3.8%) as an operative complication. There was one maternal death. Conclusion: Hypogastric artery ligation is an effective therapeutic option for severe postpartum hemorrhage and should be kept in mind during obstetric emergency conditions.
Keywords
Hypogastric artery ligation
Postpartum hemorrhage
Peripartum hysterectomy
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