Internal Iliac Artery Ligation for Severe Postpartum Hemorrhage

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dc.contributor.authorSiddik, Evsen Mehmet
dc.contributor.authorErdal, Sak Muhammet
dc.contributor.authorEnder, Soydinc Hatice
dc.contributor.authorSerdar, Basaranoglu
dc.contributor.authorCetin, Bakir
dc.contributor.authorSibel, Sak
dc.contributor.authorTalip, Gul
dc.date.accessioned2024-04-24T17:47:28Z
dc.date.available2024-04-24T17:47:28Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: To evaluate the outcomes of bilateral internal iliac artery ligation (IIAL) in severe postpartum hemorrhage (PPH). Design: Multi-center, retrospective study Methods: The study was performed from January 2005 to December 2010, at the Obstetrics and Gynecology Clinic, Dicle University Medical Faculty and Maternity Hospital, Diyarbakir, Turkey Life-threatening cases of severe postpartum hemorrhage, which could not be controlled with conservative medical and surgical treatments and finally managed with IIAL, were retrospectively evaluated. Results: Totally 53 patients who underwent IIAL procedures were included in the study All patients were hemodynamically unstable. The mean shock index and transfused units of blood were 1.17+/-0.46, 5.49+/-3.04, respectively Uterine atony was the leading cause of severe postpartum hemorrhage and the need for IIAL. Coagulopathy developed in 26 (49.1%) patients during the postoperative follow-up period. Uterus was preserved in 17 (32.0%) cases. Three patients died of complications and/or morbidity associated with hemorrhage. Conclusion: Serious PPH is most frequently associated with uterine atony and IIAL should be considered in cases with severe PPH unresponsive to other treatment modalities. If, in the antenatal period, patients have risk factors of postpartum hemorrhage, they must be transferred to appropriate centers to prevent a possibly fatal outcome.en_US
dc.identifier.endpage668en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue9en_US
dc.identifier.pmid23342894
dc.identifier.startpage665en_US
dc.identifier.urihttps://hdl.handle.net/11468/22514
dc.identifier.volume83en_US
dc.identifier.wosWOS:000309194300004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.ispartofGinekologia Polska
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPostpartum Hemorrhageen_US
dc.subjectHysterectomyen_US
dc.subjectIliac Arteryen_US
dc.subjectLigationen_US
dc.titleInternal Iliac Artery Ligation for Severe Postpartum Hemorrhageen_US
dc.titleInternal Iliac Artery Ligation for Severe Postpartum Hemorrhage
dc.typeArticleen_US

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