Role of bilateral internal iliac artery ligation in controlling refractory post partum hemorrhage

Samia Jamil; sara Munir; Javeria Amin; Shazia Nourin; Alia .; Zill e huma; Hamza Saeed Khokhar; Sultan Ul Moazzam; Muhammad Sohail Afzal

doi:10.14419/ijm.v9i2.31693

Article Details

Role of bilateral internal iliac artery ligation in controlling refractory post partum hemorrhage

Authors:

Samia Jamil | sara Munir | Javeria Amin | Shazia Nourin | Alia . | Zill e huma | Hamza Saeed Khokhar | Sultan Ul Moazzam | Muhammad Sohail Afzal

Publisher:

Science Publishing Corporation

Journal:

International Journal of Medicine Vol.9 Issue 2, pp.71-74

Document Type:

Article

Publication Date:

8/2021

Document Language:

English

Document ID (Org No.):

2001388080

pISSN:

2309-1622

DOI:

10.14419/ijm.v9i2.31693

Keywords:

Refractory Post Partum Hemorrhage

Abstract:

 Background: Post Partum Hemorrhage (PPH) is a life threatening emergency that needs to be managed timely. Refractory PPH is treated surgically. Bilateral internal iliac artery ligation is one of the surgical procedures performed to control bleeding.Objective: We analyzed the effectiveness of Bilateral IIAL in controlling bleeding in PPHMethodology: It was a retrograde cross-sectional study conducted at Lady Aitchison hospital, Lahore from data during January 2018 to December 2020. After applying inclusion and exclusion criteria, data of patient including demographics, history, examination, ultrasound, procedure details and post-operative complications were recorded. All the data was analyzed using SPSS version 23.0.Results: All the patients (44) survived and success rate was 100 %. Uterine atony was present in 29 (65.9%) patients as a cause of PPH, placental abnormality, uterine rupture and coagulopathy in 7(15, 9), 4 (9.1%) and 4 (9.1%) patients respectively. 17 patients did not develop any complication. Most common Post-operative complication was wound infection (22.75%) followed by pneumonia (20.5%), paralytic ileus (9.1%) and DIC with renal failure (9.1%).Conclusion: Bilateral IIAL was found to be an effective and preferred life saving procedure, preserving fertility.Â Â Â.

Article Details

Role of bilateral internal iliac artery ligation in controlling refractory post partum hemorrhage

Authors: Samia Jamil | sara Munir | Javeria Amin | Shazia Nourin | Alia . | Zill e huma | Hamza Saeed Khokhar | Sultan Ul Moazzam | Muhammad Sohail Afzal

Publisher: Science Publishing Corporation

Journal: International Journal of Medicine Vol.9 Issue 2, pp.71-74

Document Type: Article

Publication Date: 8/2021

Document Language: English

Document ID (Org No.): 2001388080

pISSN: 2309-1622

DOI: 10.14419/ijm.v9i2.31693

Refractory Post Partum Hemorrhage

Issues

Authors:

Samia Jamil | sara Munir | Javeria Amin | Shazia Nourin | Alia . | Zill e huma | Hamza Saeed Khokhar | Sultan Ul Moazzam | Muhammad Sohail Afzal

Publisher:

Science Publishing Corporation

Journal:

International Journal of Medicine Vol.9 Issue 2, pp.71-74

Document Type:

Article

Publication Date:

8/2021

Document Language:

English

Document ID (Org No.):

2001388080

pISSN:

2309-1622

DOI:

10.14419/ijm.v9i2.31693