scholarly journals OP19.10: Hypogastric artery ligation in the management of postpartum hemorrhage

2019 ◽  
Vol 54 (S1) ◽  
pp. 151-151
Author(s):  
P. Hanulíková ◽  
L. Krofta ◽  
J. Feyereisl
Keyword(s):  
Postpartum Hemorrhage ◽  
Hypogastric Artery ◽  
Artery Ligation

scholarly journals Prophylactic Hypogastric Artery Ligation during Placenta Percreta Surgery: A Retrospective Cohort Study

2018 ◽  
Vol 08 (02) ◽  
pp. e142-e145
Author(s):  
Theresa Kuhn ◽  
Kristina Martimucci ◽  
Abdulla Al-Khan ◽  
Robyn Bilinski ◽  
Stacy Zamudio ◽  
...  
Keyword(s):  
Blood Loss ◽  
Retrospective Cohort ◽  
Placenta Percreta ◽  
Control Group ◽  
Study Group ◽  
Distributed Data ◽  
Hypogastric Artery ◽  
Blood Products ◽  
Artery Ligation ◽  
Cesarean Hysterectomy

Objective To evaluate if prophylactic hypogastric artery ligation (HAL) decreases surgical blood loss and blood products transfused. Study Design This is a retrospective cohort study comparing patients with placenta percreta undergoing prophylactic HAL at the time of cesarean hysterectomy versus those who did not. Data were presented as means ± standard deviations, proportions, or medians with interquartile ranges. Demographic and clinical data were compared in the groups using Student's t-test for normally distributed data or the Mann–Whitney U test for nonnormally distributed data. Fisher's exact test was used for proportions and categorical variables. Data are reported as significant where p was <0.05. Results There were 26 patients included in the control group with no HAL and 11 patients included in the study group. Estimated blood loss for the study group was 1,000 mL versus 800 mL in the control. Units of PRCBs transfused were 4.5 units in the study group versus 2 units for the control group. None of these measures were found to be statistically significant. Conclusion Our data suggest there was no benefit in the use of prophylactic HAL in decreasing surgical blood loss or amount of blood products transfused in patients who had a cesarean hysterectomy performed for placenta percreta. Précis Prophylactic HAL does not decrease blood loss during surgery for placenta percreta.

scholarly journals Adjunctive intrauterine Foley’s Catheter Balloon adding to hypogastric artery ligation in the conservative management of morbid adherent placenta previa

2018 ◽  
Vol 7 (6) ◽  
pp. 2093
Author(s):  
Hany F. Sallam ◽  
Nahla W. Shady
Keyword(s):  
Blood Loss ◽  
Placenta Previa ◽  
Hypogastric Artery ◽  
Artery Ligation ◽  
Cesarean Hysterectomy ◽  
Adherent Placenta ◽  
Group I ◽  
Estimated Blood Loss ◽  
Group Ii ◽  
Foley’S Catheter

Background: Objective of present study was to demonstrate the efficacy of Foley’s catheters balloon tamponade as an adjuvant to control blood loss during and after a caesarian section in patient undergone hypogastric artery ligation (HAL) due to morbid adherent placenta previa (MAPP).Methods: A single-center retrospective case-control clinical trial was carried out in a tertiary university hospital between March 2015 and March 2018, 124 women were undergoing cesarean delivery for MAPP, were managed conservatively either with HAL or HAL plus inflated Intrauterine Foley’s Catheter Balloon to control post-partum hemorrhage secondary to MAPP. In the case of conservative treatment protocol failure, cesarean hysterectomy was performed.Results: 124 women were enrolled (n=62 in each group). group of women received HAL plus Intrauterine Foley’s Catheter Balloon (group II)) showed a significant reduction in intraoperative and 4 hours post-operative blood loss compared with (Group I) which received HAL without Intrauterine Foley’s Catheter Balloon. (P = 0.0001,0.0.015), so the overall estimated blood loss in group II showed significant reduction compared with group I (P = 0.0001).Conclusions: Adjunctive intrauterine Foley's catheter balloon adding to HAL ligation in the management of MAPP is a novel combination approach have proved to be effective to control of intraoperative and PPH and to preserve the uterus as possible and change in the concept of MAPP management always mandates hysterectomy. And may become an alternative valid option to planned cesarean-hysterectomy in well-selected cases who have a strong desire for future fertility.

Buttock necrosis after hypogastric artery embolization for postpartum hemorrhage

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Robin Julve ◽  
Eva Meler ◽  
Elena Murillo ◽  
Bernat Serra
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Twin Pregnancy ◽  
Rare Complication ◽  
Skin Grafting ◽  
Hypogastric Artery ◽  
Vacuum Assisted Closure ◽  
Artery Embolization ◽  
Vacuum Assisted Closure Therapy

AbstractUterine or hypogastric artery embolization is a useful alternative to hysterectomy in the treatment of postpartum hemorrhage.Puerpera requiring a bilateral hypogastric artery embolization for postpartum hemorrhage after cesarean section in a term twin pregnancy. Unexpected unilateral buttock necrosis appeared 5 days later. Treatment consisted of debridement, the use of vacuum-assisted closure therapy and skin grafting.Buttock necrosis is a rare complication after hypogastric artery embolization in the treatment of postpartum hemorrhage.

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