TY  - JOUR
T1  - Effect of hypogastric artery ligation in obstetric hemorrhage and fertility
AU  - Uzun, Navdar Doğuş
AU  - Terzi, Hasan
AU  - Uzun, Fulya
AU  - Kale, Ahmet
PY  - 2021
DA  - May
DO  - 10.30621/jbachs.902444
JF  - Journal of Basic and Clinical Health Sciences
JO  - JBACHS
PB  - Dokuz Eylul University
WT  - DergiPark
SN  - 2564-7288
SP  - 144
EP  - 147
VL  - 5
IS  - 2
LA  - en
AB  - 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 (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 (84%) of them, while hysterectomy was performed in addition to HAL in 9 (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.
KW  - Hypogastric artery ligation
KW  - obstetric hemorrhage
KW  - fertility-sparing surgery
CR  - 1. McLintock C, James AH. Obstetric hemorrhage. J Thromb Haemost. 2011 Aug;9(8):1441-51. doi: 10.1111/j.1538-7836.2011.04398.x. PMID: 21668737.
CR  - 2. Sziller I, Hupuczi P, Papp Z. Hypogastric artery ligation for severe hemorrhage in obstetric patients. J Perinat Med. 2007; 35(3):187-92.
 
3. Kayem G, Kurinczuk JJ, Alfirevic Z, Spark P, Brocklehurst P, Knight M, et al. Specific second-line therapies for postpartum haemorrhage: A national cohort study. BJOG. 2011;118:856–64.
CR  - 4. Demirbaş M , Karabel M , İnci M . Türkiye’de ve Dünya’da Değişen Sezaryen Sıklığı ve Olası Nedenleri. Sakarya Tıp Dergisi. 2018; 7(4): 158-163.
CR  - 5. Lumbreras-Marquez MI, Campos-Zamora M, Ramirez-De Avila AL, Soto-Galindo JC, Olivas-Chavez JC, Tecayehuatl-Delgado G, Hernandez-Rayon YI, Ramirez-Calvo JA, Farber MK. Training for the surgical management of postpartum hemorrhage: a multicenter survey of resident physicians. J Matern Fetal Neonatal Med. 2019 Nov 19:1-7. doi: 10.1080/14767058.2019.1685974. Epub ahead of print. PMID: 31744352.
CR  - 6. WHO. Reducing the Global Burden: Postpartum Haemorrhage. Making Pregnancy Safer. 2007.
CR  - 7. Thia EWH, Lee SL, Tan HK, Tan LK. Ultrasonographicalfeatures of morbidly-adherent placentas. Singapore Med J2007; 48(9): 802.
CR  - 8. Trikha A, Singh PM. Management of major obstetric haemorrhage. Indian J Anaesth. 2018;62(9):698–703. doi:10.4103/ija.IJA_448_18.
CR  - 9. Chou MM. Prenatal diagnosis and perinatal management ofplacenta previa accreata: Part, present and future. TaiwaneseJ Obstet Gynecol 2004; 43(2): 64- 71 .
CR  - 10. McLintock C, James AH. Obstetric hemorrhage. J Thromb Haemost. 2011 Aug;9(8):1441-51. doi: 10.1111/j.1538-7836.2011.04398.x.
CR  - 11. Brătilă E, Brătilă C. P, Coroleucă C. B, Coroleucă C. A. Collateral circulation in the female pelvis and the extrauterine anastomosis system.  Rom J Anat. 2015; 14(2): 223-227
UR  - https://doi.org/10.30621/jbachs.902444
L1  - https://dergipark.org.tr/en/download/article-file/1659579
ER  -