Internal iliac artery ligation in post-partum hemorrhage

Is Selective Embolization of Uterine Arteries a Safe Alternative to Hysterectomy in Patients with Postpartum Hemorrhage?

“…Surgical ligation of internal iliac arteries or uterine arteries is frequently performed when bleeding cannot be controlled by conventional means. Internal-iliac-artery ligation, proposed by three groups of researchers [9][10][11], may not be effective in controlling severe postpartum hemorrhage in 50% of patients because the blood flow in the distal vessel is only decreased by 48% as a result of the numerous collateral vessels in the distal internal iliac artery [12]. Uterine artery ligation seems to be more effective, particularly in the presence of uterine atony, but is less effective in placenta accreta or clotting disorders [13,14].…”

Les hémorragies graves de la délivrance : doit-on lier, hystérectomiser ou emboliser ?

“…Les particules pour l'embolisation ou les fils pour les ligatures sont résorbables. La reprise des cycles est le plus souvent normale et plusieurs cas de grossesses après embolisation ou ligatures vasculaires ont été rapportés, même après exclusion des pédicules lomboovariens [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]. Il n'y a pas d'insuffisance utéroplacentaire constatée pour les grossesses ultérieures.…”

Transient Occlusion of Bilateral Internal Iliac Arteries Facilitates Bloodless Operative Field in Subcapsular Prostatectomy

“…Bilateral ligation of the internal iliac arteries has often been used in order to control massive bleeding in the field of obstetric emergency [2]. In urologic surgery, this maneuver is not clearly documented in the medical literature.…”