title: Internal iliac and ovarian artery ligation in the control of pelvic haemorrhage.
abstract: Bilateral ligation of the internal iliac artery with or without ligation of the ovarian arteries was carried out in 17 patients who had life-threatening pelvic haemorrhage; 14 were due to obstetric haemorrhage, 2 followed abdominal hysterectomy and 1 intractable haemorrhage associated with carcinoma of the cervix. The procedure was successful in arresting the haemorrhage in 13 patients but 4 needed hysterectomy in spite of the ligation; 1 patient died from disseminated intravascular coagulation following surgery and 1 had cardiac arrest due to extensive blood loss during surgery and died 12 hours later. A review of the literature, a brief description of the procedure and its indications are discussed.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital, School of Medical Sciences, University Science Malaysia, Kota Bharu.
authors.forename: A S
authors.initials: AS
authors.lastname: Thavarasah
authors.forename: N
authors.initials: N
authors.lastname: Sivalingam
authors.forename: S A
authors.initials: SA
authors.lastname: Almohdzar
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery; D004632:Emergency Medical Services; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007083:Iliac Artery / Q000601:surgery*; D008026:Ligation; D010053:Ovary / Q000098:blood supply*; D010388:Pelvis / Q000601:surgery*; D011247:Pregnancy; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000150:complications; D014592:Uterine Hemorrhage / Q000601:surgery