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  • Title: [Ligation of internal iliac arteries for severe hemorrhage in obstetric].
    Author: Mathlouthi N, Ben Ayed B, Dhouib M, Chaabene K, Trabelsi K, Ayadia M, Kolsi K, Amouri H, Guermazi M.
    Journal: Tunis Med; 2012 Mar; 90(3):247-51. PubMed ID: 22481198.
    Abstract:
    AIM: To assess the efficiency of arteries ligation in intractable obstetrical hemorrhage. METHODS: Prospective study which concerned 53 patients who underwent internal iliac arteries ligation for persistent and severe obstetrical hemorrhage from January 2007 to June 2010. RESULTS: The average age of patients was 29.3 years. The mean parity was 2.2. Main etiology of hemorrhage were: uterine atony (62.2%), abruptio placentae (15.1%). Coagulation disorders and hypovolemic shock were observed respectively in 20.7 % and 37.7%. Blood transfusion was performed in all cases. Internal iliac arteries ligation allowed hemorrhage control in 90.5 % of cases. In five cases a hysterectomy was necessary to control bleeding.. No peroperative complication were observed. CONCLUSION: Internal iliac arteries ligation is a prerequisite treatment of severe postpartum hemorrhage. It is a good alternative to arterial embolization.
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