Hemodynamic parameters following bilateral internal iliac arteries ligation as a treatment of intrapartum hemorrhage.
OBJECTIVE
The internal iliac arteries ligation (IIAL) is a particularly effective method, maintaining fertility, of dealing with intrapartum hemorrhage.


OBJECTIVE
Hemodynamic evaluation of the ovarian arteries(OA) and uterine arteries (UA) in patients after IIAL.


METHODS
Study Group consisted of 6 women who underwent IIAL to treat intrapartum hemorrhage--without hysterectomy. Control Group consisted of 6 women, at the same age group, parity and time after delivery, who did not undergo IIAL.


METHODS
Perfusion characteristics were studied by means of a transvaginal Doppler system. Resistance index (RI), pulsatility index (PI) and systolic/diastolic ratio (S/D) were measured in the uterine and ovarian arteries. Nonparametric comparison of the two groups was performed with the help of Two-sample Wilcoxon rank-sum (Mann-Whitney) test. RESULTS 1. Change of perfusion in OA-PI: 1.40 vs. 3.76 Prob < 0.05; RI: 0.86 vs. 0.91 Prob > 0.05; S/D: 3.25 vs. 18.2 Prob < 0.05. 2. Change of perfusion in UA-PI: 2.20 vs. 2.75 Prob > 0.05; RI 0.82 vs. 0.86 Prob > 0.05; SID: 5.28 vs. 7.81 Prob > 0.05.


CONCLUSIONS
1. IIAL as a way of treating intrapartum haemorrhage, causes the decrease of pulsatility index (PI) and systolic/diastolic ratio (S/D) in ovarian arteries. 2. Characteristic changes of PI, RI and S/D parameters in uterine arteries after IIAL have not been observed. 3. Changes of ovarian flow velocity parameters suggest the possibility of changes in the ovarian function.
Raba
Grzegorz
G
Oddzial Połoznictwa i Ginekologii, Wojewódzki Szpital w Przemyślu. g.raba@plusnet.pl
Baran
Piotr
P
D000328:Adult; D001783:Blood Flow Velocity; D016022:Case-Control Studies; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D008026:Ligation / Q000379:methods; D010053:Ovary / Q000098:blood supply*; D010388:Pelvis / Q000098:blood supply*; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014599:Uterus / Q000098:blood supply; D055815:Young Adult