Internal iliac artery ligation in obstetrics and gynaecology

Ligation of one or both internal iliac arteries is described in 5 obstetric and 5 gynaecological patients. The procedure was performed for control of severe pelvic haemorrhage. The anatomy and technique are briefly outlined, and the freedom from complications is stressed. Modern views as to the probable postoperative haemodynamics are discussed. A plea is made for more frequent use of this simple operation, and for its routine teaching during the training of pelvic surgeons.