This study aimed to assess the efficacy of emergency bilateral internal iliac ligation in managing postpartum hemorrhage which were not managed by medical treatment (Refractory PPH). We conducted a retrospective analysis of 20 cases involving women who underwent emergency bilateral internal iliac ligation for PPH. All 20 women in this study received emergency bilateral internal iliac ligation. Among these cases, 14 were attributed to atonic postpartum hemorrhage, 1 was uterine rupture, 2 were Adherent placenta, 1 was Uterine rupture, 1 was coagulopathy ligament hematoma and 1 was lower genital tract injuries. A single hysterectomy was required in these cases. During the procedure, no case experienced an injury to the internal iliac artery. No mortality occurred during or after the bilateral internal iliac ligation procedure. Bilateral internal iliac ligation emerges as an effective, time-efficient and life-preserving intervention for refractory post-partum hemorrhage, provided that prompt decision-making and skilled surgical execution are employed.
Hardik Vyas and Aman Bhatia. Bilateral Ligation of Internal Iliac Arteries in Postpartum Haemorrhage (PPH): Emergency Situation Study of 20 Cases: A Retrospective Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.116.119
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.116.119