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  1. The internal iliac artery (IIA) is the main arterial vessel of the pelvis. It supplies the pelvic viscera, pelvic walls, perineum, and gluteal region. In cases of severe obstetrical or gynecologic hemorrhage, IIA ligation can be a lifesaving procedure.

  2. 3 Ιουν 2021 · We propose a contemporary technique that requires limited dissection of the anterior division of the internal iliac artery. A few millimeters of space is created on either side of the artery by spreading right-angle forceps parallel to the vessel. The artery is occluded by 2 large vascular clips.

  3. Bilateral internal iliac artery ligation is a life-saving procedure to control massive obstetric and gynecological hemorrhage when other measures fail.

  4. 14 Μαρ 2016 · Internal iliac artery ligation (IIAL) is a safe, rapid and very effective method of controlling bleeding from genital tract. Even in the most catastrophic situations, rapid alternatives to hysterectomy are needed for women wishing to preserve their reproductive potential and to prevent high surgical and anesthetic risk in an already compromised ...

  5. We outline five key surgical steps required to successfully perform an internal iliac artery ligation: 1. Access the retroperitoneum; 2. Dissect the pararectal space; 3. Identify the anatomy; 4. Isolate the internal iliac artery; and 5. Ligate the vessel through either using a traditional suture ligation technique or contemporary clipping ...

  6. The classical method of internal iliac artery ligation involved extensive retroperitoneal dissection with complete circumferential isolation of the vessel to allow the passage of a suture around the artery. This can be surgically challenging and fraught with risks of inadvertent injury to the surrounding iliac veins.

  7. The internal iliac artery is the main vascular supply of pelvic visceral structures. All pelvic surgeons must know the anatomic landmarks and basic. steps of internal iliac artery ligation in...

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