지혈곤란한 골반장기 출혈시 내장골동맥 결찰술에 대하여

Abstract

Ligation of the internal iliac artery in the control of severe spontaneous or operative hemorrhage is little known and seldom used in the present day practice of obstetrics and gynecology. This is not because the procedure is ineffective, dangerous, or even difficult to do: it is none of these. It is simply because most practioner do not know about it. The majority of residents currently in training will finish without seeing the operation. The purpose of this presentation is to demonstrate our surgical results in the management of intractable pelvic hemorrhage with a very simple & usually effective technic, hypogastric artery ligation. From Jan. 1975 to Dec. of 1978, therapeutic ligation of hypogastric arteries were done in 7 patients. It was performed unilateral in 2 and bilateral in 5 cases. No additional ovarian arteries were ligated. No death or serious complications was resulted directly from artery ligation itself. Ligation of the hypogastric artery can be life saving.