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2015, Number 3

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Rev Cub Med Int Emerg 2015; 14 (3)

Hypogastric artery ligation in the treatment of the obstetric haemorrhages in emergencies

Ibañez CF, Ruiz PAJ, Pérez DAD, Torres LR, Tarrillo LJ, Del Campo DB

Language: Spanish
References: 20
Page: 18-27
PDF size: 333.56 Kb.


ABSTRACT

Introduction: The haemorrhage continues being one of the main causes of maternal death in the world; the internal iliac or hypogastric arteries ligation is an effective proceed in the solution of the severe haemorrhages of the pregnancy, childbirth and puerperal period.
Objective: To describe the employment of the hypogastric arteries ligation, in the surgical treatment of the obstetric haemorrhages in emergencies.
Methods: Descriptive, retrospective and of transversal court study in 31 patients that were applied the hypogastric arteries ligation for the obstetric haemorrhages control; from January 1988 to December 2012 at "Ciro Redondo Garcia" General Hospital in Artemisa, Cuba.
Results: The prevailing age of the intervened patients was 27 years old. The haemorrhagic event was preceded with more frequency by caesarean operation (72,4%). The uterine atony was the main indication of procedure (29,0%). The uterus was conserved in a case and the bleeding control was achieved in all patients. It was not showed up neither complications nor maternal deaths.
Conclusions: The previous branch ligation of the hypogastric arteries is considered a sure and effective procedure and even its utility is employed in the treatment of obstetric haemorrhages in emergency of difficult handling for other conventional methods.


REFERENCES

  1. Cristián Belmar J., María I. Barriga C., Pablo Salinas, Jorge Brañes Y. Embarazo posterior a ligadura de arterias hipogástricas. Rev chil obstet ginecol 2003; 68(4): 327-329.

  2. Octavio Torres A., Francisco Bueno N., Reinaldo González R., Alejandro Blonda M. Ligadura de las arterias iliacas internas (hipogástricas) en cirugía obstétrica. Rev. Chile obstet ginecol 2002; 67(6): 446-450.

  3. Obstetricia y perinatología, diagnostico y tratamiento. La Habana; Editorial Ciencias Médicas; 2012. p 554. 87.

  4. Cabezas E, Casagrandi D, Santisteban S, Urra R. Pérdida masiva de sangre. En: Acciones para un parto seguro. La Habana. 2004. p. 21-37.10.

  5. Arana J. Ligadura de artérias hipogástricas. Ginecol Obstet. Perú, 1995. 41(3):32-5.

  6. Romero-Maldonado S, Quezada-Salazar CA, Lopez Barrera MD, Arroyo Cabrales LM. Effect of risk on the child of an older mother (case-control study). Ginecol Obstet. 2002 Jun; 70:295-302.

  7. Silvia Torres, Gerard Albaigès, Maria Rodríguez Losada, Ramón M. Miralles. Atonía uterina como causa más frecuente de histerectomías postparto. Ginecología y Obstetricia Clínica. Tarragona. 2006:7(1):10-15.

  8. Águila Setién, S; La Morbilidad Materna Extremadamente Grave, un reto actual para la reducción de la mortalidad materna. Hemorragias obstétricas. 2012: 74-4.

  9. Vázquez Cabrera J. Embarazo parto y puerperio. Principales complicaciones. Ligadura de las arterias hipogástricas en las grandes hemorragias obstétricas. La Habana; Editorial Ciencias Médicas, 2009:128-5.

  10. Te Linde; Giltrap LC, Gant NF. Thompson ID, Ginecología quirúrgica. Cirugía ginecológica en obstetricia: problemas obstétricos. En: Rock JA.8.ed. Buenos Aires: 2010: 879-96.

  11. Mora Díaz I, Robaina Aguirre F, Sánchez Redonet E, Morales Chamizo A.Ligadura de las arterias hipogástricas en las hemorragias toco ginecológicas. Rev. Cubana Obstet Ginecol 2006; 32(1).

  12. Te Linde; Giltrap LC, Gant NF. Thompson ID, Ginecología quirúrgica. Cirugía ginecológica en obstetricia: problemas obstétricos. En: Rock JA.8.ed. Buenos Aires: 1999 : 888.

  13. Morel O; Malartic C; Muhlstein J; Gayat E; Judlin P; Soyer P; Barranger E. Pelvic arterial ligations for severe post-partum hemorrhage. Indications and techniques, J Visc Surg ; 148(2) :e95-102, 2011 Apr.

  14. Chelli D; Boudaya F; Dimassi K; Gharbi B; Najjar I; Sfar E. Hypogastric artery ligation for post-partum hemorrhage, J Gynecol Obstet Biol Reprod (Paris);39(1):43-9, 2010 Feb.

  15. Sziller I; Hupuczi P; Papp Z. Hypogastric artery ligation for severe hemorrhage in obstetric patients, J Perinat Med;35(3):187-92, 2007.

  16. Papp Z; Tóth-Pál E; Papp C; Sziller I; Gávai M; Silhavy M; Hupuczi P. Hypogastric artery ligation for intractable pelvic hemorrhage, J Gynaecol Obstet;92(1):27-31, 2006 Jan.

  17. Papp Z; Tóth-Pál E; Papp C; Sziller I; Silhavy M; Gávai M; Hupuczi P. Bilateral hypogastric artery ligation for control of pelvic hemorrhage, reduction of blood flow and preservation of reproductive potential. Experience with 117 cases; Orv Hetil; 146(24):1279-85, 2005 Jun 12.

  18. Hurtado Estrada G, Cárdenas González S, Barrón Fuentes A, Cordero Galera CA, Morales Palomares M, Vargas Hernández VM. Ligadura de arterias hipogástricas, una cirugía heroica para evitar la mortalidad en ginecoobstetricia; Arch Inv Mat Inf 2009; I(3):138-143.

  19. 19.SCOG Clinical Practice Guidelines. Prevention and management of postpartum haemorrhage; J Soc Obstet Can. 2000; 22:271-81.

  20. Te Linde, Thompson JD, Rock J (h); Ginecología quirúrgica. Control de la Hemorragia pelviana.10. ed. Buenos Aires, 2010:393.




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