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[Collateral circulation in the small pelvis after ligation of both internal iliac arteries]
Zentralblatt Fur Gynakologie
|January 1, 1975
Insights
During caesarean sections, bilateral internal iliac artery ligation effectively stops uterine vessel bleeding. Postoperative arteriography confirmed sufficient pelvic collateral circulation, validating the procedure.
Area of Science:
- Vascular Surgery
- Obstetrics & Gynecology
- Radiology
Background:
- Caesarean sections can lead to significant uterine vessel hemorrhage.
- Bilateral internal iliac artery ligation is a surgical technique to control pelvic bleeding.
- Assessing collateral circulation is crucial after such interventions.
Abstract:
In the course of a caesarean section the uterine vessels of one side are severed, the bleeding is stopped by bilateral ligation of the internal iliac (hypogastric) arteries. Sufficient collateral circulation in the true pelvis is proved by arteriography on the 6th postoperative day. The findings are discussed.