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  • Title: Internal iliac and ovarian artery ligation in the control of pelvic haemorrhage.
    Author: Thavarasah AS, Sivalingam N, Almohdzar SA.
    Journal: Aust N Z J Obstet Gynaecol; 1989 Feb; 29(1):22-5. PubMed ID: 2562595.
    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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