Effect of hypogastric artery ligation in obstetric hemorrhage and fertility

Authors : Navdar Doğuş UZUN, Hasan TERZİ, Fulya UZUN, Ahmet KALE

Pages : 144-147

Doi:10.30621/jbachs.902444

View : 16 | Download : 3

Publication Date : 2021-05-27

Article Type : Research Paper

Abstract :Aim: In this study, we aimed to examine the effectiveness of hypogastric artery ligation method in obstetric hemorrhage and its effects on fertility. Patients and Methods: Sixty-two patients who underwent bilateral hypogastric artery ligation insert ignore into journalissuearticles values(HAL); due to obstetric bleeding at Kocaeli Derince Training and Research Hospital between November 1, 2011 and November 1, 2016 were retrospectively evaluated. Results: In patients with postpartum hemorrhage, bleeding was controlled with HAL in 47 insert ignore into journalissuearticles values(84%); of them, while hysterectomy was performed in addition to HAL in 9 insert ignore into journalissuearticles values(16%); patients. While 17 patients gave consent for bilateral tubal ligation before the operation, none were in the hysterectomy group. Postoperative follow-up information was obtained for 31 of the remaining 36 patients. It was observed that 7 of the patients had an intrauterine device inserted, 3 gave birth in our center, 18 had regular menstrual periods, and 3 had hysteroscopy due to irregular menstrual periods, which revealed no pathology. Conclusion: HAL is an important procedure used as the last step in obstetric bleeding, especially in fertility-sparing surgery, and it can be used safely by experienced surgeons. More emphasis should be placed on this surgical method in today`s gynecology and obstetrics residency training process.
Keywords : Hypogastric artery ligation, obstetric hemorrhage, fertility sparing surgery