Volume : VIII, Issue : II, February - 2019

Internal iliac artery ligation in controlling PPH-Single centre study

Jayachander K, Malarvizhi K. L

Abstract :

Objective: To study the efficacy of bilateral internal iliac artery ligation in controlling postpartum hemorrhage (PPH).Methods: It’s a retrospective study, of patients, who underwent emergency bilateral internal iliac artery ligation to control postpartum hemorrhage (PPH), during the recent 3 months period October 2018 to December 2018 at Government Kilpauk Medical College Hospital, Chennai. Total deliveries for the above period is of 2134 and 42 patients of them developed primary postpartum hemorrhage. Etiology for PPH: Uterine atony 38 patients and Placenta previa 4 patients. Treatment: Medical management in 35 patients with uterotonic drugs, fiin stabilizing drug tranexamic acid and Mechanical therapy by intrauterine balloon tamponade using Foleys catheter in one patient and Surgical management by bilateral internal iliac artery ligation in 6 (14.28%) and bilateral uterine artery ligation in one patient (2.38%) .Adjuvant procedures such as uterine compression suturing also practiced along with. Results: Out of 6 patients who underwent emergency bilateral internal iliac artery ligation 3(50%) of them required immediate life saving on table subtotal hysterectomy to control PPH. Remaining 3 (50%) patients in whom bilateral internal iliac artery ligation alone done, responded well and PPH was controlled

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

INTERNAL ILIAC ARTERY LIGATION IN CONTROLLING PPH-SINGLE CENTRE STUDY, Jayachander K, Malarvizhi K.L PARIPEX - INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-2 | February-2019

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