Abstract |
Bilateral ligation of the internal iliac artery with or without ligation of the ovarian arteries was carried out in 17 patients who had life-threatening pelvic haemorrhage; 14 were due to obstetric haemorrhage, 2 followed abdominal hysterectomy and 1 intractable haemorrhage associated with carcinoma of the cervix. The procedure was successful in arresting the haemorrhage in 13 patients but 4 needed hysterectomy in spite of the ligation; 1 patient died from disseminated intravascular coagulation following surgery and 1 had cardiac arrest due to extensive blood loss during surgery and died 12 hours later. A review of the literature, a brief description of the procedure and its indications are discussed.
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Authors | A S Thavarasah, N Sivalingam, S A Almohdzar |
Journal | The Australian & New Zealand journal of obstetrics & gynaecology
(Aust N Z J Obstet Gynaecol)
Vol. 29
Issue 1
Pg. 22-5
(Feb 1989)
ISSN: 0004-8666 [Print] Australia |
PMID | 2562595
(Publication Type: Journal Article, Review)
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Topics |
- Adult
- Arteries
(surgery)
- Emergency Medical Services
- Female
- Hemorrhage
(etiology, surgery)
- Humans
- Hysterectomy
(adverse effects)
- Iliac Artery
(surgery)
- Ligation
- Ovary
(blood supply)
- Pelvis
(surgery)
- Pregnancy
- Treatment Outcome
- Uterine Cervical Neoplasms
(complications)
- Uterine Hemorrhage
(surgery)
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