Hypogastric Artery Ligation: A New Perspective

Obstetric Uterine Rupture of the Unscarred Uterus: A Twenty-Year Clinical Analysis

“…In sour series, only one patient received hysterectomy and could not get pregnancy later, four patients had get pregnancy smoothly with a term baby by cesarean section, the other 6 patients had prevented conception by various contraception methods. Ligation of the hypogastric artery may be useful for attaining adequate hemostasis [20,21] , as we found in fi ve of our cases.…”

Relaparotomy after cesarean delivery: Experience from an Indian teaching hospital

“…When all other conservative measures failed, laparotomy followed by bilateral uterine artery ligation, ligation of the utero‐ovarian anastomosis near the uterine cornu and hypogastric artery ligation were performed. Stepwise ligation of these vessels has been recommended; 6,7 however, these procedures are effective in less than 50% of cases 8 . Vessel ligation was performed in 35% of cases before proceeding to hysterectomy in a series of peripartum hysterectomy from Saudi Arabia 9 …”

Timely relaparotomy after caesarean section of a moribund patient can save the life

“…8 When conservative measures failed laparotomy followed by step wise ligation of vessele-B-Lynch sutures, bilateral uterine artery ligation, ligation of the utero ovarian anastomosis near the uterine cornue and internal iliac arteries ligation has been recommended but found effective only in 50% cases. 9,10,11 Although the post CS pregnancy was found to be the commonest indication of the primary operation in this study, all these cases were referred cases. Detailed history revealed that all this cases were associated with prolonged labour.…”