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This article provides a step-by-step guide to the IIA ligation procedure and its possible complications. It also includes a detailed description of the anatomy of the IIA and pelvic arterial anastomoses.
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.
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 ...
24 Αυγ 2019 · Methods. This retrospective study was conducted in 31 patients with abnormal placentation. They underwent BIL during LSCS. The surgery was elective in non-bleeding patients and as an emergency in bleeding patients. The primary outcome is to minimize blood loss and postpartum blood transfusion.
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 %.
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...
