RETRACTED: Randomized controlled trial of the effect of bilateral uterine artery ligation during cesarean among women at risk of uterine atony

Samy, Ahmed; Ali, Mohammed Khairy; Abbas, Ahmed M.; Wahab, Hala Abdel; Wali, Ahmed A.; Hussien, Aml H.; Mostafa, Mona; Taymour, Mohammad A.; Ogila, Asmaa I; Ahmad, Yahia H.; Essam, Aimy; Mahmoud, Mostafa

doi:10.1002/ijgo.13064

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Tariq et al and Khatoon et al have also found an increased incidence of uterine atony 75-90% to be responsible for PPH. 13,15 In this study the PPH was successfully controlled by uterine artery ligation with 96.1% had no postoperative complications. Consistently Wang CY et al 14 reported that the hemorrhage was controlled effectively among 8(88.9%) cases out of nine among females who were undergone bilateral HAL even their conditions was critical initially.…”

Section: Resultsmentioning

confidence: 55%

Role of the Uterine Artery Ligation (UAL) In Control of Postpartum Hemorrhage

Shaikh

et al. 2021

Ann Pak Inst Med Sci

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Objective: To determine the efficacy and safety of uterine artery ligation (UAL) in control of Postpartum Hemorrhage. Methodology: This case series study was conducted at Department of Gynecology and Obstetrics Peoples University of Medical & Health Sciences for Women Nawabshah. All the women age between 20-45 years, gestation duration at and beyond 34 weeks, antepartum hemorrhage; intraoperative atonic postpartum hemorrhage and discovery of a placenta accreta; or an adherent placental part after piecemeal removal of the placenta, with bleeding from the placental site were included. After failure of treatment from medical measures, the initial surgical approach of uterine artery ligation (UAL) was done. Efficacy was defined as positive when patient improves or clinically doesn’t develop any complication throughout admission after UAL. Safety was assessed by appearance of side effects if any occurred after procedure. Data was recorded via study proforma and analysis was done by using SPSS version 20. Results: Out of 76 patients admitted of postpartum hemorrhage mean age was 58 years. Most of the patients 59.2% were multiparous and 40.8% were primiparous. The most common cause of postpartum hemorrhage was uterine atony 56.5% and adherent Placenta accreta 43.42%. Most of the patients 81.6% had no postoperative complications except for 11 patients, who had developed gaping of the wound from which they recovered and discharged. The patients required hysterectomy due to intractable hemorrhage and 2.3% mortality was observed due to DIC. Conclusion: Uterine devascularization by bilateral uterine artery ligation is a simple, effective and the safest initial surgical option with less blood loss and less surgical time for controlling postpartum hemorrhage during cesarean section. It should be used as the first surgical step of choice after medical managements fail in controlling postpartum hemorrhage due to minimal rate of complications and mortality.

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Section: Resultsmentioning

confidence: 55%

Role of the Uterine Artery Ligation (UAL) In Control of Postpartum Hemorrhage

Shaikh

et al. 2021

Ann Pak Inst Med Sci

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“…They found that there were no significant differences in age, BMI, number of previous cesarean deliveries or parity (all p>0.05). 11 Similarly, Mohamed et al demonstrated that there was no significant difference between their studied groups regarding demographic characteristics. 12 BUAL is a quick and easy surgical procedure that can be coupled with uterotonics to prevent PPH in high-risk cases such as placenta previa.…”

Section: Discussionmentioning

confidence: 90%

Effect of bilateral uterine artery ligation in cases of postpartum hemorrhage on ovarian reserve

Zaid

Hagras

Hefeda

et al. 2023

Int J Reprod Contracept Obstet Gynecol

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Background: Bilateral uterine artery ligation (BUAL) is a fertility-preserving procedure used in women experiencing postpartum hemorrhage (PPH). However, the long-term effects of this procedure on ovarian reserve remain unclear. Aim to investigate the effect of BUAL in cases of PPH on ovarian reserve, Methods: This study was carried out at department of obstetrics and gynecology Tanta university on 40 patients divided into 2 groups: (The study group); included 20 patients underwent cesarean section with successful BUAL for intractable atonic PPH, (The control group); included 20 patients underwent cesarean section without BUAL; during a period between April 2020 and December 2021, Results: There is no-significant difference between study and control group according to AMH (ng/ml), resistivity index (RI) and pulsatility index (PI) of right and left uterine artery and ovarian artery after 6 months of bilateral UAL, Conclusions: Bilateral UAL had no negative effects on ovarian reserve or ovarian blood supply, so this treatment should be used as a fertility preservation technique to avoid hysterectomy in patients experiencing PPH.

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Application of Ligation of Internal Iliac Artery and Uterine Artery in Pernicious Placenta Previa

Bai,

Lin,

Shen

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Backgrounds: To investigate the use of vascular ligation in the treatment of pernicious placenta previa. Methods: Clinical data from 199 patients with pernicious placenta previa were collected and divided into groups according to placenta location, placenta accretion and vessel ligation, the pregnancy outcome of each group was compared. Results: The unplanned reoperation rate was lower for the internal iliac artery ligation group than the group without internal iliac artery ligation (p < 0.05). The intraoperative bleeding volume, blood transfusion volume, and intensive care unit (ICU) admission rate were lower for the prophylactic internal iliac artery ligation group than the therapeutic ligation group (p < 0.05), and in the hysterectomy patients, intraoperative bleeding was lower in the prophylactic internal iliac artery ligation group than the therapeutic ligation group (p < 0.05). The hysterectomy rate was lower for the uterine artery ligation group than the group without uterine artery ligation (p < 0.05); and for superficial and deep placental accreta, the operation time of uterine artery ligation group was shorter than internal iliac artery ligation group, intraoperative bleeding volume, blood transfusion volume, and ICU admission rate have no significant difference, when placental penetrating implantation was performed, patients with internal iliac artery ligation were statistically more severely ill, but there was no difference in prognosis. Conclusions: Vascular ligation is an effective means of managing high-risk obstetric bleeding and helps to avoid hysterectomy and unplanned reoperation, but surgeons need to choose the appropriate ligation method to improve patient prognosis, considering the patient’s condition and his or her skills.

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RETRACTED: Randomized controlled trial of the effect of bilateral uterine artery ligation during cesarean among women at risk of uterine atony

Cited by 3 publications

References 12 publications

Role of the Uterine Artery Ligation (UAL) In Control of Postpartum Hemorrhage

Role of the Uterine Artery Ligation (UAL) In Control of Postpartum Hemorrhage

Effect of bilateral uterine artery ligation in cases of postpartum hemorrhage on ovarian reserve

Application of Ligation of Internal Iliac Artery and Uterine Artery in Pernicious Placenta Previa

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