Step-by-step ligation of the internal iliac artery

Selçuk, İlker; Uzuner, Bora; Boduç, Erengül; Baykuş, Yakup; Akar, Bertan; Güngör, Tayfun

doi:10.4274/jtgga.galenos.2018.2018.0124

Cited by 22 publications

(16 citation statements)

References 13 publications

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“…Bilateral internal iliac artery (IIA) ligation is a life-saving procedure which significantly reduces the pulse pressure and rate of blow flow caused by a hemorrhage, subsequently allowing effective thrombosis within small bleeding vessels, such as the OA [ 37 ]. After ligation, the pubic branches of the obturator artery anastomose with the inferior epigastric artery, a branch of the external iliac artery [ 38 ]. Some different indications regarding the IIA ligation are uterine laceration during endovascular repair of aortoiliac arterial aneurysm, radical hysterectomy or exenteration, postpartum hemorrhage secondary to abruption or placenta previa, and—as stated earlier—profuse pelvic hemorrhage from fracture of the pelvis or gunshot injury to the pelvis [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

A Bipartite Obturator Artery with Multiple Pelvic Branching—A Gynecologic Approach

et al. 2022

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Background: The obturator artery (OA) often presents multiple anatomical variations. These can be an atypical origin, variable anastomosis, or abnormal course within the pelvis. Methods: This study aimed to report a rare arterial variation in a Puerto Rican female cadaver that showed two abnormal obturator arteries with multiple pelvic branches. The OA emerged from the anterior branch of the internal iliac artery, which typically runs anteroinferior along the lateral wall of the pelvis to the upper part of the obturator foramen. Results: The atypical OA described in this report provided two variant branches. Abnormal obturator artery I (AOAI) emerged first and gave rise to three additional branches, while abnormal obturator artery II (AOAII) emerged second and gave rise to two other branches. Conclusions: Identifying these accessory arteries is essential for surgical interventions, particularly within the field of gynecology and urogynecology. Knowledge regarding anatomical variations within this region must be assessed preoperatively to decrease the risk of iatrogenic injury.

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Section: Discussionmentioning

confidence: 99%

A Bipartite Obturator Artery with Multiple Pelvic Branching—A Gynecologic Approach

et al. 2022

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“…Despite these advantages, in patients with obesity and a large uterus, the approach becomes difficult. 5 This educational video demonstrates the relevant anatomic structures and key points involved in the ligation technique for the internal iliac artery. It aims to enlighten the residents and pelvic surgeons.…”

Section: Surgical Techniquementioning

confidence: 99%

Ligation of Internal Iliac Artery: Educational Video with Basic Steps and Key Points

Selçuk¹,

Gülümser²,

Tatar³

et al. 2019

JCOG

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“…In obstetric bleeding HA, ligation can decrease pelvic arterial blood supply and pressure as much as 58 and 85%, consecutively. 13 Refaie et al reported that appropriate hemostasis can be observed in 82.4% of the patients treated with HA ligation. 7 Yildiz et al also found that 15 patients with the adhesive placenta and placenta previa that were treated with HA ligation and hysterectomy had a similar outcome with patients Journal of South Asian Federation of Obstetrics and Gynaecology, Volume 14 Issue 3 (May-June 2022) that were treated without hysterectomy.…”

Section: Introductionmentioning

confidence: 98%

Improving the Outcome of Cesarean Hysterectomy for Adhesive Placenta with Internal Iliac Artery Ligation Procedure

Sanjaya¹,

Suwardewa²,

Kusuma³

et al. 2022

Journal of South Asian Federation of Obstetrics and Gynaecology

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Introduction:The increased rate of cesarean delivery has been related to increased incidence of the adhesive placenta in the last three decades. Improved management of adhesive placenta will increase the survival rate. Internal iliac artery or hypogastric artery (HA) ligation was one of the prophylactic techniques to prevent massive bleeding and expected to increase the survival rate. Aims: To determine whether HA or internal iliac artery ligation can improve the outcome of cesarean hysterectomy in cases with the adhesive placenta. Methods: This is a retrospective descriptive study involving 50 patients with confirmed adhesive placenta who underwent cesarean hysterectomy from March 2017 to January 2021 in Sanglah General Hospital. Data were presented in percentage and analyzed using the Chi-square test or Fisher's exact test. Results:The patients had a mean age of 32.5 years, with a median number of children being two and a median history of cesarean section of two times. None of the patients had a previous history of curettage. Based on the comparison of the results of patients who underwent iliac artery ligation, it was found that patients who were not treated had more complications of bladder rupture, repeated laparotomy, and had more internal bleeding (p-value 0.643, 0.630, and 0.645, consecutively). Conclusion: Patients who were not treated had more complications of bladder rupture, repeated laparotomy, and had more internal bleeding.

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Step-by-step ligation of the internal iliac artery

Cited by 22 publications

References 13 publications

A Bipartite Obturator Artery with Multiple Pelvic Branching—A Gynecologic Approach

A Bipartite Obturator Artery with Multiple Pelvic Branching—A Gynecologic Approach

Ligation of Internal Iliac Artery: Educational Video with Basic Steps and Key Points

Improving the Outcome of Cesarean Hysterectomy for Adhesive Placenta with Internal Iliac Artery Ligation Procedure

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