Open AccessA change in the management of intractable obstetrical hemorrhage over 15 years in a tertiary care center
Author(s) -
Sunil Kumar Juneja,
Pooja Tandon,
Bishav Mohan,
Sandeep Kaushal
Publication year - 2014
Publication title -
international journal of applied and basic medical research/international journal of applied and basic medical research
Language(s) - English
Resource type - Journals
eISSN - 2248-9606
pISSN - 2229-516X
DOI - 10.4103/2229-516x.140710
Subject(s) - medicine , hysterectomy , uterine artery embolization , embolization , internal iliac artery , context (archaeology) , surgery , retrospective cohort study , uterine artery , obstetrics , pregnancy , gestation , paleontology , genetics , biology
Peripartum hysterectomy was the gold standard to save a woman with persistent obstetrical bleeding, but compromised the menstrual and reproductive functions. Bilateral internal iliac artery ligation (BIAL) is a potentially effective, fertility preserving means of controlling pelvic hemorrhage, but with surgical and anesthetic risks and low success. Angiographic embolization has the potential to arrest severe pelvic hemorrhage without removing the uterus and without hazarding general anesthesia in a hemodynamically unstable patient.