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Surgery Journals | Surgery Articles | Journal of General Surgery | High Impact Articles | Scient Open Access
Journal of General Surgery


Research Article

Effectiveness of Bilateral Internal Iliac Artery Ligation in the Management of Refractory Post-Partum Haemorrhage

Saima Iqbal,Uzma Butt1,Hamza Iqbal, Samreen Hameed, Muhammad Salman Faisal and Sarmad Zahoor

Correspondence Address :

Sarmad Zahoor
Department of Internal Medicine
King Edward Medical University
Mayo Hospital Lahore

Received on: September 9, 2019, Accepted on: September 16, 2019, Published on: September 23, 2019

Citation: Uzma Butt, Sarmad Zahoor,Hamza Iqbal , Saima Iqbal, Samreen Hameed, Muhammad Salman Faisal (2019). Effectivenss of Bilateral Internal Artery Ligation in the Management of Refractory Post Partum Haemorrhage

Copyright: 2019 Sarmad Zahoor, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Background: Postpartum haemorrhage (PPH) is a common and lethal emergency leading to thousands of causalities. It can cause life threatening complications which necessitate urgent management. Refractory PPH can be managed surgically. Bilateral Internal Iliac Artery Ligation (IIAL) is sometimes used for this purpose.
Aims and Objectives: To analyze efficacy of bilateral IIAL in refractory PPH
Study Design: Prospective case series analysis of women requiring bilateral IIAL due to refractory PPH
Duration: January 2015 to December 2018
Centre: DHQ teaching hospital, Gujranwala, a tertiary care centre with referral from whole district Gujranwala
Sample size: 30 patients
Methodology: All the patients meeting the inclusion and exclusion criteria were included in the study after obtaining informed consent. All underwent hysterectomy followed by BIIAL. In all the cases, surgery was performed by experienced obstetricians and gynecologists. Patients were observed for post operative complications during hospital stay and were followed up for 3 months. The collected data was analyzed using SPSS 20.
Results: Maternal survival rate was 100%.Uterine atony (70%) was the most common indication. Fifteen (50%) patients developed no postoperative complications. Pneumonia was observed in 5 patients. Three (10%) developed disseminated intravascular coagulation and acute renal failure, with all surviving.
Conclusion: Bilateral IIAL was considered to be effective in managing refractory PPH.

Keywords: Refractory Post-Partum Haemorrhage, Bilateral Internal Iliac Artery Ligation