INTRODUCTION: Hypogastric artery ligation (HAL) is a life-saving procedure for severe postpartum haemorrhage (PPH). It should be performed as fast as possible when needed. In this study, a single surgeons experience in HAL for controlling PPH was presented.
METHODS: Cases in whom HAL performed in emergency setting by the same surgeon in between 2015 and 2018 were included in this retrospective cohort study. The technnique of the procedure was the same for all cases. Data were extracted from hospitals records.
RESULTS: A total of 6 patients were included into the analysis. Indications for HAL were as follows: uterine atony in 3 (50%) cases, placenta previa in 2 (33.3%) cases and ablatio placenta in one case (16.7%). There were no intraoperative complication. The success rate of HAL was 83.3%, as one of the 6 patient underwent re-laparotomy. Within a median follow-up time of 13 months, only one patient attempted to concieve and succeeded.
DISCUSSION AND CONCLUSION: HAL is an effective procedure for the management of PPH. Entering to the retroperitonneum directly over the hypogastric artery may fasten the procedure.