The New Indian Journal of OBGYN. Epub Ahead of Print

Clinical spectrum of internal iliac artery ligation in obstetrics and gynecology

Vineeta Gupta,Priyanka Chaudhari,Archna Tandon,Namrata Saxena,Shweta Nimonkar

ABSTRACT

Objective: To study the role and efficacy of internal iliac artery ligation (IIAL) in obstetrics and gynecology practice. Methods: Retrospective review of detailed clinical data of 89 women who underwent emergency or elective IIAL from January 2009 to December 2019 for any obstetrical or gynecological indication at Shri Guru Ram Rai Institute of medical and health sciences, Dehradun, Uttarakhand. Results: Among 89 cases, 76 were done for obstetrical and 13 for gynecological indication. Morbidly adherent placenta and uterine atony were main indications for IIAL in obstetrics while radical hysterectomy in gynecological cases. Our study shows statistical significant (P value <0.005) correlation in the need of blood transfusion between elective versus emergency IIAL. Among 76 cases done for obstetrical indication, in 65.8% cases uterus was saved emphasizing the importance of IIAL. Conclusion: IIAL is safe, rapid and effective method of controlling pelvic hemorrhage during any emergency or elective pelvic surgery and it also prevent unnecessary hysterectomy in many obstetrical indications.