[Ligation of the hypogastric arteries. Analysis of 4000 cases].
Experience of 10 years is presented on hypogastric artery ligation as a secondary resource for the hemorrhage control on a selected group of 400 patients; those who have had a previous multiple management to the procedure. The pathology type is shown, risk groups and the problems that conditioned the indication. Surgical technique is analyzed, its complications and secueles; with a follow up of 2 years to 63.5%. Depurated mortality was of 1%. It is concluded that the procedure efficacy depends on it's prompt realization, adequate indication and good technique.
Torreblanca Neve
E
E
Hospital de Gineco-Obstetricia No. 4 Luis Castelazo Ayala, IMSS, México, D.F.
Merchan Escalante
G
G
Walter Tordecillas
M A
MA
Acosta Alfaro
M A
MA
D000293:Adolescent; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008026:Ligation; D008423:Maternal Age; D010298:Parity; D006473:Postpartum Hemorrhage / Q000517:prevention & control / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control / Q000601:surgery*; D014592:Uterine Hemorrhage / Q000517:prevention & control / Q000601:surgery*