Emergency Bilateral Internal Iliac Artery Ligation – A Hospital Based, Cross Sectional Study
Dr. Veeresh Nagathan,
Professor, Department of OBG,
S. Nijalingappa Medical College,
Bagalkot 587102, Karnataka India.
Background: A pelvic haemorrhage is a life threatening complication in both gynaecology and obstetrics cases and it has to be controlled immediately. Bilateral Internal Iliac Artery Ligation (BIIAL) is a time tested and an easy method and it achieves this goal without compromising the rest of the pelvic blood supply.
Objective: This study was done to describe the indications, the surgical techniques and the effectiveness in controlling the pelvic haemorrhages in the obstetrics and the gynaecology cases.
Material and Method: A total of 18 emergency BIIALs were performed between 2001-2010 in the obstetrics and gynaecology cases by the general surgeons and the gynaecologists.
Results: 16 patients could be successfully treated and two patients died due to delays in performing the surgery (an increased interval between the primary surgery and the BIIAL).
Conclusion: An emergency BIIAL is a safe , effective and a simple technique to adopt. A delay in performing the procedure increases the mortality and the morbidity. This technique should be performed more often when it is indicated by obstetricians and gynaecologists.