[Obstetrical hemostatic ligation of the uterine arteries and hypogastric arteries].
The author studies haemostatic vascular ligations in obstetrics, in order to codify the indication of BLUA and BLHA in obstetrical haemorrhages uncontrollable with classic therapeutic means. He comes to the following conclusions: in severe post-partum haemorrhages defined by a hypotonic uterus and resistant to classic therapy, BLUA is a simple, fast, harmless procedure when carried out on the ascending branches and providing a favorable result; in severe post-partum haemorrhages originating in the segmento-cervical area, one may resort: either to BLHA; or the BLUA, at their origin (but information is not yet available concerning clinical experiment). In severe haemorrhages originated in the parauterine areas, or the hypogastric arterial system, only BLHA may be effective; in severe obstetrical haemorrhages caused by coagulation disorders and untractable with classic methods, BLHA may be useful and prevent a haemostatic hysterectomy or a least decreases bleeding intra- or even post-operatively.
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Institut de Médecine et de Pharmacie, Iassy, Roumanie.
D001158:Arteries / Q000601:surgery; D001778:Blood Coagulation Disorders / Q000150:complications; D002584:Cervix Uteri / Q000098:blood supply; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008026:Ligation; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy; D012307:Risk Factors; D014592:Uterine Hemorrhage / Q000517:prevention & control; D014599:Uterus / Q000098:blood supply*
Etude sur les ligatures hémostatiques obstétricales des artères utérines (LBAU) et des artères hypogastriques (LBAH).