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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.
- Internal iliac artery ligation as a damage control method in ...
Internal iliac artery ligation (IIAL) has been used as a...
- Internal iliac artery ligation as a damage control method in ...
Internal iliac artery ligation (IIAL) has been used as a damage control procedure to treat hemodynamically unstable pelvic fracture for many years. However, there is ongoing debate regarding the effectiveness and safety of this hemostatic method.
3 Ιουν 2021 · Bilateral ligation of the anterior division of the internal iliac arteries can be a lifesaving intervention for severe pelvic hemorrhage. The procedure results in decreased pelvic perfusion and promotes coagulation.
Bilateral internal iliac artery ligation was done by anterior approach in 7 patients and by posterior approach in 41 patients. All cases of internal iliac ligation done in view of PPH from January 2015 to December 2018. Prophylactic IIAL was performed in women with a high-risk of developing PPH.
27 Νοε 2020 · If no bleeding site is identified, empiric embolisation of bilateral uterine arteries or the anterior division of the internal iliac artery should be performed, particularly in acute PPH. When performing OHE, it is important to look for atypical branches prior to embolisation.
28 Αυγ 2022 · Bilateral ligation of Internal iliac artery is an emerging technique by which we can control PPH efficiently and can conserve uterus. The aim of our study, is to estimate the...
14 Μαρ 2016 · Bilateral internal iliac artery ligation is an effective life-saving method to control obstetric and gynecological hemorrhage, and a hysterectomy can often be avoided. In our study, the efficacy of IIAL was found to be 96.87 %.
