Year 2015, Volume 45, Issue 6, Pages 1312 - 1316 2015-12-04

Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center
Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center

ÇAĞLAR YILDIZ [1] , ÖZLEM BOZOKLU AKKAR [2] , SAVAŞ KARAKUŞ [3] , ALİ ÇETİN [4] , ALİ YANIK [5]

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Background/aim: Several authorities advocate the use of hypogastric artery ligation (HAL) in the treatment of cases of obstetrical hemorrhage related to uterine atony or placenta accreta. We assessed the morbidity and mortality of patients who underwent HAL as a component of emergency procedures to control life-threatening uterine bleeding in a tertiary-care university hospital. Materials and methods: In this retrospective study, the clinical data of 24 eligible patients who underwent HAL between 2010 and 2013 in a university hospital to prevent or control severe uterine bleeding were collected and analyzed with regard to intraoperative and postoperative findings. Results: In the study population, there were nine patients with uterine atony managed without hysterectomy after HAL and there were 15 patients with placenta previa complicated with placenta accreta after HAL. Of these 15 patients, seven underwent hysterectomy and eight were managed without hysterectomy. Overall, the clinical features of the patients managed with or without hysterectomy were similar for patients with uterine atony and placenta previa. Conclusion: We suggest that if HAL is performed in a surgical setting as mentioned in this study, it may be a life-saving and fertility-sparing procedure.
Background/aim: Several authorities advocate the use of hypogastric artery ligation (HAL) in the treatment of cases of obstetrical hemorrhage related to uterine atony or placenta accreta. We assessed the morbidity and mortality of patients who underwent HAL as a component of emergency procedures to control life-threatening uterine bleeding in a tertiary-care university hospital. Materials and methods: In this retrospective study, the clinical data of 24 eligible patients who underwent HAL between 2010 and 2013 in a university hospital to prevent or control severe uterine bleeding were collected and analyzed with regard to intraoperative and postoperative findings. Results: In the study population, there were nine patients with uterine atony managed without hysterectomy after HAL and there were 15 patients with placenta previa complicated with placenta accreta after HAL. Of these 15 patients, seven underwent hysterectomy and eight were managed without hysterectomy. Overall, the clinical features of the patients managed with or without hysterectomy were similar for patients with uterine atony and placenta previa. Conclusion: We suggest that if HAL is performed in a surgical setting as mentioned in this study, it may be a life-saving and fertility-sparing procedure.
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Primary Language tr
Subjects
Journal Section Articles
Authors

Author: ÇAĞLAR YILDIZ

Author: ÖZLEM BOZOKLU AKKAR

Author: SAVAŞ KARAKUŞ

Author: ALİ ÇETİN

Author: ALİ YANIK

Bibtex @ { tbtkmedical149017, journal = {Turkish Journal of Medical Sciences}, issn = {1300-0144}, eissn = {1303-6165}, address = {TUBITAK}, year = {2015}, volume = {45}, pages = {1312 - 1316}, doi = {}, title = {Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center}, key = {cite}, author = {YILDIZ, ÇAĞLAR and AKKAR, ÖZLEM BOZOKLU and KARAKUŞ, SAVAŞ and ÇETİN, ALİ and YANIK, ALİ} }
APA YILDIZ, Ç , AKKAR, Ö , KARAKUŞ, S , ÇETİN, A , YANIK, A . (2015). Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center. Turkish Journal of Medical Sciences, 45 (6), 1312-1316. Retrieved from http://dergipark.gov.tr/tbtkmedical/issue/12391/149017
MLA YILDIZ, Ç , AKKAR, Ö , KARAKUŞ, S , ÇETİN, A , YANIK, A . "Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center". Turkish Journal of Medical Sciences 45 (2015): 1312-1316 <http://dergipark.gov.tr/tbtkmedical/issue/12391/149017>
Chicago YILDIZ, Ç , AKKAR, Ö , KARAKUŞ, S , ÇETİN, A , YANIK, A . "Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center". Turkish Journal of Medical Sciences 45 (2015): 1312-1316
RIS TY - JOUR T1 - Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center AU - ÇAĞLAR YILDIZ , ÖZLEM BOZOKLU AKKAR , SAVAŞ KARAKUŞ , ALİ ÇETİN , ALİ YANIK Y1 - 2015 PY - 2015 N1 - DO - T2 - Turkish Journal of Medical Sciences JF - Journal JO - JOR SP - 1312 EP - 1316 VL - 45 IS - 6 SN - 1300-0144-1303-6165 M3 - UR - Y2 - 2019 ER -
EndNote %0 Turkish Journal of Medical Sciences Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center %A ÇAĞLAR YILDIZ , ÖZLEM BOZOKLU AKKAR , SAVAŞ KARAKUŞ , ALİ ÇETİN , ALİ YANIK %T Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center %D 2015 %J Turkish Journal of Medical Sciences %P 1300-0144-1303-6165 %V 45 %N 6 %R %U
ISNAD YILDIZ, ÇAĞLAR , AKKAR, ÖZLEM BOZOKLU , KARAKUŞ, SAVAŞ , ÇETİN, ALİ , YANIK, ALİ . "Hypogastric artery ligation for obstetrical hemorrhage: clinical experiencein a tertiary care center". Turkish Journal of Medical Sciences 45 / 6 (December 2015): 1312-1316.