The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta

Magdy Mohamed Kamal Yousef; Ahmed Mohamed Rateb; Ahmed Mohsen Hassan Mohamed

doi:doi:10.11648/j.wjmcr.20210204.11

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The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta

Magdy Mohamed Kamal Yousef, Ahmed Mohamed Rateb, Ahmed Mohsen Hassan Mohamed

Published in World Journal of Medical Case Reports (Volume 2, Issue 4)

Received: 3 November 2021 Accepted: 19 November 2021 Published: 11 December 2021

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Abstract

Background: Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective: to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods: The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results: Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion: Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.

Published in	World Journal of Medical Case Reports (Volume 2, Issue 4)
DOI	10.11648/j.wjmcr.20210204.11
Page(s)	62-68
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Abnormally Invasive Placenta, Caesarean Hysterectomy, Internal Iliac Artery Ligation, Blood Loss

References

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[4]	Silver RM, Landon MB, Rouse DJ, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006; 107: 1226–1232.
[5]	Solheim KN, Esakoff TF, Little SE, et al. The effect of cesarean delivery rates on the future incidence of placenta previa, placenta accreta, and maternal mortality. J Matern Fetal Neonatal Med. 2011; 24: 1341–1346.
[6]	Kuhn T, Martimucci K, Al-Khan A, Bilinski R, Zamudio S, Alvarez-Perez J. Prophylactic Hypogastric Artery Ligation during Placenta Percreta Surgery: A Retrospective Cohort Study. American Journal of Perinatology Reports. 2018; 8 (02): e142-5.
[7]	Kidney DD, Nguyen AM, Ahdoot D, Bickmore D, Deutsch LS, Majors C. Prophylactic perioperative hypogastric artery balloon occlusion in abnormal placentation. AJR Am J Roentgenol 2001; 176 (06): 1521–1524.
[8]	Iwata A, Murayama Y, Itakura A, et al. Limitations of internal iliac artery ligation for the reduction of intraoperative hemorrhage during cesarean hysterectomy in cases of placenta previa accreta. J Obstet Gynaecol Res. 2010; 36: 254–259.
[9]	Allen L, Jauniaux E, Hobson S, Papillon-Smith J, Belfort MA, FIGO Placenta Accreta Diagnosis and Management Expert Consensus Panel, Duncombe G, Klaritsch P, Chantraine F, Kingdom J, Grønbeck L. FIGO consensus guidelines on placenta accreta spectrum disorders: Nonconservative surgical management. International Journal of Gynecology & Obstetrics. 2018; 140 (3): 281-90.
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[13]	Shrivastava V, Nageotte M, Major C, Haydon M, Wing D. Case-control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta. American journal of obstetrics and gynecology. 2007; 197 (4): 402-e1.
[14]	Shih JC, Liu KL, Shyu MK. Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta. American journal of obstetrics and gynecology. 2005; 193 (5): 1756-8.
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[16]	El-sayed ML, El-huseiny AM, Ahmed MA, Saber S. Intraoperative internal iliac artery balloon occlusion versus ligation in cases of placenta previa accreta: A randomized trial. Edorium J Gynecol Obstet. 2016; 2: 34-40.
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APA Style

Magdy Mohamed Kamal Yousef, Ahmed Mohamed Rateb, Ahmed Mohsen Hassan Mohamed. (2021). The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta. World Journal of Medical Case Reports, 2(4), 62-68. https://doi.org/10.11648/j.wjmcr.20210204.11

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ACS Style

Magdy Mohamed Kamal Yousef; Ahmed Mohamed Rateb; Ahmed Mohsen Hassan Mohamed. The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta. World J. Med. Case Rep. 2021, 2(4), 62-68. doi: 10.11648/j.wjmcr.20210204.11

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AMA Style

Magdy Mohamed Kamal Yousef, Ahmed Mohamed Rateb, Ahmed Mohsen Hassan Mohamed. The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta. World J Med Case Rep. 2021;2(4):62-68. doi: 10.11648/j.wjmcr.20210204.11

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@article{10.11648/j.wjmcr.20210204.11,
  author = {Magdy Mohamed Kamal Yousef and Ahmed Mohamed Rateb and Ahmed Mohsen Hassan Mohamed},
  title = {The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta},
  journal = {World Journal of Medical Case Reports},
  volume = {2},
  number = {4},
  pages = {62-68},
  doi = {10.11648/j.wjmcr.20210204.11},
  url = {https://doi.org/10.11648/j.wjmcr.20210204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210204.11},
  abstract = {Background: Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective: to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods: The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results: Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion: Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.},
 year = {2021}
}

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TY  - JOUR
T1  - The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta
AU  - Magdy Mohamed Kamal Yousef
AU  - Ahmed Mohamed Rateb
AU  - Ahmed Mohsen Hassan Mohamed
Y1  - 2021/12/11
PY  - 2021
N1  - https://doi.org/10.11648/j.wjmcr.20210204.11
DO  - 10.11648/j.wjmcr.20210204.11
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 62
EP  - 68
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20210204.11
AB  - Background: Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective: to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods: The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results: Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion: Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.
VL  - 2
IS  - 4
ER  -

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Author Information

Magdy Mohamed Kamal Yousef

Department of Obstetrics & Gynaecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Ahmed Mohamed Rateb

Department of Obstetrics & Gynaecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Ahmed Mohsen Hassan Mohamed

Department of Obstetrics & Gynaecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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APA Style

Magdy Mohamed Kamal Yousef, Ahmed Mohamed Rateb, Ahmed Mohsen Hassan Mohamed. (2021). The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta. World Journal of Medical Case Reports, 2(4), 62-68. https://doi.org/10.11648/j.wjmcr.20210204.11

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ACS Style

Magdy Mohamed Kamal Yousef; Ahmed Mohamed Rateb; Ahmed Mohsen Hassan Mohamed. The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta. World J. Med. Case Rep. 2021, 2(4), 62-68. doi: 10.11648/j.wjmcr.20210204.11

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AMA Style

Magdy Mohamed Kamal Yousef, Ahmed Mohamed Rateb, Ahmed Mohsen Hassan Mohamed. The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta. World J Med Case Rep. 2021;2(4):62-68. doi: 10.11648/j.wjmcr.20210204.11

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@article{10.11648/j.wjmcr.20210204.11,
  author = {Magdy Mohamed Kamal Yousef and Ahmed Mohamed Rateb and Ahmed Mohsen Hassan Mohamed},
  title = {The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta},
  journal = {World Journal of Medical Case Reports},
  volume = {2},
  number = {4},
  pages = {62-68},
  doi = {10.11648/j.wjmcr.20210204.11},
  url = {https://doi.org/10.11648/j.wjmcr.20210204.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210204.11},
  abstract = {Background: Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective: to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods: The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results: Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion: Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.},
 year = {2021}
}

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TY  - JOUR
T1  - The Role of Bilateral Internal Iliac Artery Ligation in Minimizing Blood Loss Prior to Cesarean Hysterectomy Patients with Abnormally Invasive Placenta
AU  - Magdy Mohamed Kamal Yousef
AU  - Ahmed Mohamed Rateb
AU  - Ahmed Mohsen Hassan Mohamed
Y1  - 2021/12/11
PY  - 2021
N1  - https://doi.org/10.11648/j.wjmcr.20210204.11
DO  - 10.11648/j.wjmcr.20210204.11
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 62
EP  - 68
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20210204.11
AB  - Background: Abnormally invasive placenta (AIP) is a term that describes cases in which there is complete or partial failure of separation of the placenta from the uterine wall following delivery of the fetus. Objective: to detect the role of bilateral internal iliac artery ligation in minimizing blood loss, prior to performing Cesarean Hysterectomy in cases with confirmed preoperative or intraoperative diagnosis of Abnormally invasive placenta. Patients and Methods: The study was carried out at Ain shams university maternity hospital in 2019. Women were recruited from the labor ward who underwent CS Hysterectomy. The total number of pregnant women enrolled in the study was 95 women. Approval from the Medical Ethics Committee were obtained. Results: Our study showed that internal iliac artery ligation in CS hysterectomy cases for AIP has non significant lower blood loss than cases who did not underwent internal iliac artery ligation. In stead, it had increased the operative time. In comparison of 45 patients underwent internal iliac artery ligation and 45 without ligation blood loss was non significantly lower in the group who underwent ligation with mean 1933 ml blood loss in comparison with 2117 ml in the group who did not. Conclusion: Bilateral internal iliac artery ligation, in cases of AIP undergoing caesarean hysterectomy, is not recommended for routine practice to minimize blood loss intraoperatively.
VL  - 2
IS  - 4
ER  -

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