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Bilateral ligation of the uterine vessels (O'Leary stitch) is the preferred approach for controlling PPH from laceration of the uterine artery or branches of the utero-ovarian artery. If this does not control bleeding, the vessels of the utero-ovarian arcade are similarly ligated. 2021-01-27 · Unilateral uterine artery ligation was performed at embryonic day 17 (E17) and echocardiography was performed at E19 and E20. Growth-restricted fetuses were significantly smaller and lighter, and A bilateral uterine artery ligation followed by square sutures were taken in each uterine wall without opposition of the anterior and posterior walls to avoid closure of the cervical canal which is different from those previously described by Cho. (As illustrated in figure 2). Uterine artery ligation prior to uterine incision may be a helpful procedure to minimize intraoperative and postpartum blood loss in cases with central placenta previa. Retrospectively registered in ClinicalTrials.gov Identifier: NCT02002026 - December 8, 2013. Bilateral uterine artery ligation significantly reduces the bleeding caused by uterine inertia and abnormal placentation.
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We compared the duration of surgery, blood loss, and complications between patients in whom both uterine arteries were ligated at the beginning of total laparoscopic hysterectomy (TLH) and patients in whom ligation was done after cornual Conclusion: Uterine artery ligation prior to uterine incision may be a helpful procedure to minimize intraoperative and postpartum blood loss in cases with central placenta previa. Trial registration: Retrospectively registered in ClinicalTrials.gov Identifier:NCT02002026- December 8, 2013. A randomized controlled trial was done on 127 women planned for TLH, and divided into two groups; group A includes women that underwent conventional TLH, and group B includes women that underwent TLH with prior uterine artery ligation at its origin. To show a case of severe pelvic arteriovenous malformation treated by laparoscopic internal iliac artery ligation after 2 uterine artery embolization (UAE) procedures, where successful pregnancy was achieved after surgery.
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Proper handling of suture and needle entry antero-posteriorly on the left side and postero-anteriorly on the right side can make the whole process very simple and replicable. Uterine artery ligation is facilitated with the use of laparoscopy in this video.
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Repeat on the other side. If the artery has been torn, clamp and tie the bleeding ends. Ligate the utero-ovarian artery just below the point where the ovarian suspensory ligament joins the uterus (Fig P-53). Trans-vaginal bilateral uterine artery ligation is a safe and effective method for the treatment of symptomatic uterine fibroids especially in areas where access to high level medical technology 2020-06-06 To investigate the influence of uterine artery ligation before placental delivery during cesarean section on postpartum hemorrhage (PPH) and related complications in patients with placenta previa accreta.A retrospective study was conducted of data from 78 patients with pernicious placenta previa, treated at Fujian Provincial Maternal and Child Health Hospital (Fuzhou, China) between January 2014 and June … In the first group bilateral ascending uterine artery ligation and myomectomy were performed after lower uterine segment transverse cesarean section. The second group served as the control group; myomectomy was performed with a tourniquet.
After identification of the path of the uterine arteries, the peritoneum of the anterior cul-de-sac is opened over the vessels and the uterine artery is carefully dissected next to the lateral border of the uterine cervix. Temporary Ligation of the Uterine Artery at Its Origin Using a Removable "Shoelace" Knot Laparoscopic ligation of the uterine arteries at their origin is known to reduce intraoperative blood loss [1,2]. However, in patients desiring future fertility, the effect of permanent ligation of these vessels bilaterally remains under study [3-5].
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According to the position of the myomas within the uterus as well as the uterine volume, the surgeon may choose among 1 of the above-mentioned techniques to perform. Temporary Ligation of the Uterine Artery at Its Origin Using a Removable "Shoelace" Knot Laparoscopic ligation of the uterine arteries at their origin is known to reduce intraoperative blood loss [1,2]. However, in patients desiring future fertility, the effect of permanent ligation of these vessels bilaterally remains under study [3-5]. 2020-03-01 · In TLH or LH, the uterine artery can be ligated alongside the uterine cervix or at its’ origin from the internal iliac artery.
As evidenced by gel instillation sonography and colour Doppler imaging one year after surgery, the uterine cavity remained intact without synechiae, and patency of both uterine arteries was restored, allowing implantation and normal foetal growth. [ 16 ]
Uterine atony is the leading cause of postpartum hemorrhage. When medical management fails to stanch the bleeding, bilateral uterine artery ligation is one surgical option. JO e GO r M a N f O r OBG Ma N a G e M e N t.
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Uterine artery ligation results in placental insufficiency and intrauterine growth restriction (IUGR). 1 Animal models have demonstrated that this insult is associated with a host of metabolic and haemodynamic abnormalities 2 and pathological outcomes are seen within respiratory, 3 cardiac, 4 renal, 5 vascular, 6 muscular, 7 pancreatic, 8 and neurological 9-12 development. To conclude, prior uterine artery ligation at its origin during TLH reduces the blood loss and surgical duration as well as the complications during surgery.
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2021-03-10 · Uterine artery ligation in the control of postcesarean hemorrhage. J Reprod Med. 1995; 40(3):189-93 (ISSN: 0024-7758) O'Leary JA. The technique is described for devascularizing the post-cesarean section uterus with bilateral mass ligation of the ascending branches of the uterine arteries and veins.