Emergency internal illiac artery ligation (EIIAL): Still a uterus preserving as well as life saving procedure
Binoy Kumar Borah
Objective: To find out the utility of emergency internal iliac artery ligation at tertiary care level in a busy obstetric and gynaecological set up. Materials and Methods: 45 cases of emergency internal iliac artery ligation were done in six years duration from January 2008 to January 2014 at Gauhati Medical College & Hospital, Guwahati (GMCH), Fakhruddin Ali Ahmed Medical College & Hospital, Barpeta (FAAMCH) and Silchar Medical College & Hospital, Silchar (SMCH) as life saving procedure along with bilateral ovarian artery ligation or subtotal hysterectomy as and when required. Analysis was done on the basis of complication developed. Results: Except 3 cases; of which one died of due to pulmonary oedema, one died of due to septicaemia, and another one died of due to late intervention; all other cases could be successfully treated without any major complication. Conclusion: Emergency internal iliac artery ligation still remains an important life saving procedure and each and every obstetrician and gynaecologist should be exposed to the procedure.