Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center

Çağlar YILDIZ; Özlem Bozoklu AKKAR; Savaş KARAKUŞ; Ali ÇETİN; Ali YANIK

Makale detayları

Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center

Yazarlar:

Çağlar YILDIZ | Özlem Bozoklu AKKAR | Savaş KARAKUŞ | Ali ÇETİN | Ali YANIK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2015 Vol.45 Issue 6, pp.1312-1316

Belge Tipi:

Makale

Yayın Tarihi:

12/2015

Belge Dili:

Türkçe

Document ID (Org No.):

2000752422

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

Background/aim: Several authorities advocate the use of hypogastric artery ligation (HAL) in the treatment of cases of obstetrical hemorrhage related to uterine atony or placenta accreta. We assessed the morbidity and mortality of patients who underwent HAL as a component of emergency procedures to control life-threatening uterine bleeding in a tertiary-care university hospital.  Materials and methods: In this retrospective study, the clinical data of 24 eligible patients who underwent HAL between 2010 and 2013 in a university hospital to prevent or control severe uterine bleeding were collected and analyzed with regard to intraoperative and postoperative findings.  Results: In the study population, there were nine patients with uterine atony managed without hysterectomy after HAL and there were 15 patients with placenta previa complicated with placenta accreta after HAL. Of these 15 patients, seven underwent hysterectomy and eight were managed without hysterectomy. Overall, the clinical features of the patients managed with or without hysterectomy were similar for patients with uterine atony and placenta previa.  Conclusion: We suggest that if HAL is performed in a surgical setting as mentioned in this study, it may be a life-saving and fertility-sparing procedure.

 

Background/aim: Several authorities advocate the use of hypogastric artery ligation (HAL) in the treatment of cases of obstetrical hemorrhage related to uterine atony or placenta accreta. We assessed the morbidity and mortality of patients who underwent HAL as a component of emergency procedures to control life-threatening uterine bleeding in a tertiary-care university hospital.  Materials and methods: In this retrospective study, the clinical data of 24 eligible patients who underwent HAL between 2010 and 2013 in a university hospital to prevent or control severe uterine bleeding were collected and analyzed with regard to intraoperative and postoperative findings.  Results: In the study population, there were nine patients with uterine atony managed without hysterectomy after HAL and there were 15 patients with placenta previa complicated with placenta accreta after HAL. Of these 15 patients, seven underwent hysterectomy and eight were managed without hysterectomy. Overall, the clinical features of the patients managed with or without hysterectomy were similar for patients with uterine atony and placenta previa.  Conclusion: We suggest that if HAL is performed in a surgical setting as mentioned in this study, it may be a life-saving and fertility-sparing procedure.

Makale detayları

Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center

Yazarlar:

Çağlar YILDIZ | Özlem Bozoklu AKKAR | Savaş KARAKUŞ | Ali ÇETİN | Ali YANIK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2015 Vol.45 Issue 6, pp.1312-1316

Belge Tipi:

Makale

Yayın Tarihi:

12/2015

Belge Dili:

Türkçe

Document ID (Org No.):

2000752422

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Placenta previa

placenta accreta

uterine atony

hypogastric artery ligation

hysterectomy

Sayı

Makale detayları

Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center

Yazarlar: Çağlar YILDIZ | Özlem Bozoklu AKKAR | Savaş KARAKUŞ | Ali ÇETİN | Ali YANIK

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2015 Vol.45 Issue 6, pp.1312-1316

Belge Tipi: Makale

Yayın Tarihi: 12/2015

Belge Dili: Türkçe

Document ID (Org No.): 2000752422

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Placenta previa

placenta accreta

uterine atony

hypogastric artery ligation

hysterectomy

Sayı

Yazarlar:

Çağlar YILDIZ | Özlem Bozoklu AKKAR | Savaş KARAKUŞ | Ali ÇETİN | Ali YANIK

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2015 Vol.45 Issue 6, pp.1312-1316

Belge Tipi:

Makale

Yayın Tarihi:

12/2015

Belge Dili:

Türkçe

Document ID (Org No.):

2000752422

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144