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Internal iliac and ovarian artery ligation in the control of pelvic haemorrhage.

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.
AuthorsA S Thavarasah, N Sivalingam, S A Almohdzar
JournalThe 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
PMID2562595 (Publication Type: Journal Article, Review)
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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