title: [Ligation of internal iliac arteries for severe hemorrhage in obstetric].
abstract: OBJECTIVE
  To assess the efficiency of arteries ligation in intractable obstetrical hemorrhage.
  
  
  METHODS
  Prospective study which concerned 53 patients who underwent internal iliac arteries ligation for persistent and severe obstetrical hemorrhage from January 2007 to June 2010.
  
  
  RESULTS
  The average age of patients was 29.3 years. The mean parity was 2.2. Main etiology of hemorrhage were: uterine atony (62.2%), abruptio placentae (15.1%). Coagulation disorders and hypovolemic shock were observed respectively in 20.7 % and 37.7%. Blood transfusion was performed in all cases. Internal iliac arteries ligation allowed hemorrhage control in 90.5 % of cases. In five cases a hysterectomy was necessary to control bleeding.. No peroperative complication were observed.
  
  
  CONCLUSIONS
  Internal iliac arteries ligation is a prerequisite treatment of severe postpartum hemorrhage. It is a good alternative to arterial embolization.
authors.affiliation: Service de Gynécologie Obstétrique, CHU Hédi Chaker, Sfax, Tunisie.
authors.forename: Nabil
authors.initials: N
authors.lastname: Mathlouthi
authors.forename: Belhassen
authors.initials: B
authors.lastname: Ben Ayed
authors.forename: Mohamed
authors.initials: M
authors.lastname: Dhouib
authors.forename: Kaies
authors.initials: K
authors.lastname: Chaabene
authors.forename: Khaled
authors.initials: K
authors.lastname: Trabelsi
authors.forename: Mohamed
authors.initials: M
authors.lastname: Ayadia
authors.forename: Kamel
authors.initials: K
authors.lastname: Kolsi
authors.forename: Habib
authors.initials: H
authors.lastname: Amouri
authors.forename: Mohamed
authors.initials: M
authors.lastname: Guermazi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008026:Ligation; D007744:Obstetric Labor Complications / Q000453:epidemiology / Q000601:surgery; D013513:Obstetric Surgical Procedures / Q000379:methods*; D006473:Postpartum Hemorrhage / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014593:Uterine Inertia / Q000601:surgery; D055815:Young Adult