LIFE SAVING PROCEDURE : ROLE OF INTERNAL ILIAC ARTERY LIGATION IN CONTROL OF POST PARTUM HAEMORRHAGE

Dr. Uma N. Wankhede; Dr.Abhijeet Wadate; Dr.Sonali S. Jakhade

Volume : VI, Issue : IX, September - 2017

LIFE SAVING PROCEDURE : ROLE OF INTERNAL ILIAC ARTERY LIGATION IN CONTROL OF POST PARTUM HAEMORRHAGE

Dr. Uma N. Wankhede, Dr. Abhijeet Wadate, Dr. Sonali S. Jakhade

Abstract :

Objective: To study the role of internal iliac artery ligation in PPH

Study design: Retrospective study of cases of internal iliac artery ligation performed over a 3 year period at Sasoon General hospitals ,Pune

Method Bilateral internal iliac artery ligation was performed by intraperitoneal route in all cases

Outcome Complications,need for hysterectomy

Results Out of 28 women who underwent internal iliac ligation in a 3 year period 16 women underwent it for atonic PPH,4 for rupture uterus 6 for placenta praevia and 2 for auption placenta.4 women required subsequent hysterectomy ,2 for uterine rupture one each for placenta praevia and atonic PPH. Failure to control haemorrhage by IIAL was evident immediately, and bleeding arrested by IIAL did not recur to require later laparotomy in any woman.There were no complications in this study group.

Conclusions IIAL is useful in the treatment and prevention of PPH from any cause. Early resort to IIAL effectively prevents hysterectomy in women with atonic PPH. In traumatic PPH, IIAL facilitates hysterectomy