Volume : 6, Issue : 9, 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 :

<p>&nbsp;<b><u><span style="font-size:14.0pt;line-height:115%">Objective:</span></u></b><b><span style="font-size:14.0pt;line-height:&#10;115%"> </span></b><span style="font-size: 14pt; line-height: 115%;">To study the role of internal iliac artery ligation in PPH</span></p> <p class="MsoNormal"><b><u><span style="font-size:14.0pt;line-height:115%">Study design:</span></u></b><b><span style="font-size:14.0pt;line-height:&#10;115%"> </span></b><span style="font-size:14.0pt;line-height:115%;mso-bidi-font-weight:&#10;bold">Retrospective study of cases of internal iliac artery ligation performed over a 3 year period at Sasoon General hospitals ,Pune</span><b><span style="font-size:14.0pt;line-height:&#10;115%"><o:p></o:p></span></b></p> <p class="MsoNormal"><b><u><span style="font-size:14.0pt;line-height:115%">Method</span></u></b><b><span style="font-size:14.0pt;line-height:&#10;115%">&nbsp; </span></b><span style="font-size:14.0pt;line-height:115%">Bilateral internal iliac artery ligation was performed by intraperitoneal route in all cases<o:p></o:p></span></p> <p class="MsoNormal"><b><u><span style="font-size:14.0pt;line-height:115%">Outcome </span></u></b><b><span style="font-size:14.0pt;line-height:&#10;115%">&nbsp;</span></b><span style="font-size:&#10;14.0pt;line-height:115%;mso-bidi-font-weight:bold">Complications,need for hysterectomy<o:p></o:p></span></p> <p class="MsoNormal"><b><u><span style="font-size:14.0pt;line-height:115%">Results</span></u></b><span style="font-size:14.0pt;line-height:115%;mso-bidi-font-weight:bold"> 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.</span> <span style="font-size:14.0pt;&#10;line-height:115%;mso-bidi-font-weight:bold">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.</span><b><span style="font-size:&#10;14.0pt;line-height:115%"><o:p></o:p></span></b></p> <p><b><u><span style="font-size:14.0pt;&#10;line-height:115%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;&#10;mso-hansi-theme-font:minor-latin;mso-bidi-font-family:Mangal;mso-bidi-theme-font:&#10;minor-bidi;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:&#10;AR-SA">Conclusions</span></u><span style="font-size:14.0pt;line-height:115%;&#10;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;mso-ascii-theme-font:minor-latin;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;mso-hansi-theme-font:&#10;minor-latin;mso-bidi-font-family:Mangal;mso-bidi-theme-font:minor-bidi;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA"> </span></b><span style="font-size:14.0pt;line-height:115%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;&#10;mso-ascii-theme-font:minor-latin;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-theme-font:minor-fareast;mso-hansi-theme-font:minor-latin;&#10;mso-bidi-font-family:Mangal;mso-bidi-theme-font:minor-bidi;mso-ansi-language:&#10;EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA;mso-bidi-font-weight:&#10;bold">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</span></p>