Uterine artery ligation in the control of postcesarean hemorrhage.
The technique is described for devascularizing the post-cesarean section uterus with bilateral mass ligation of the ascending branches of the uterine arteries and veins. This 30-year clinical experience with 265 patients includes the results and complications. Ten patients required additional therapy. The effectiveness of this technique makes it a reasonable alternative to hypogastric artery ligation and reduces the need for hysterectomy.
O'Leary
J A
JA
Department of Obstetrics and Gynecology, Easton Hospital, Pennsylvania, USA.
D001158:Arteries / Q000601:surgery; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D008026:Ligation; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D016896:Treatment Outcome; D014599:Uterus / Q000098:blood supply*