Use of Bilateral Uterine Artery Ligation in Postpartum Hemorrhage.

Hwang, Myung Sim; Kim, Jong Il; Kim, Jung Hyun; Kim, Young In; An, Ki Byum; Wang, Yong Mi; Cho, Kyeong Hoon; Park, Jong Kyou

Original Article

Korean Journal of Obstetrics & Gynecology 1997;40(1):119-122.
Published online January 1, 2001.

Use of Bilateral Uterine Artery Ligation in Postpartum Hemorrhage.

Myung Sim Hwang, Jong Il Kim, Jung Hyun Kim, Young In Kim, Ki Byum An, Yong Mi Wang, Kyeong Hoon Cho, Jong Kyou Park

Abstract

Uterine artery ligation was performed to control postpartum hemorrhage in 17 cases at Han-Il hospital from July, 1994 to June, 1996. In 14 cases among them, postpartum hemorrhage was controlled successfully(82.4%) and there were no significant complications such as ureteral injury. Twelve cases could be followed up for 6 months to 2 years after uterine artery ligation. Menstruation occurred in all cases(12 cases) and it was normal in rhythm, duration and amount of bleeding. This procedure had significantly saved operation time, estimated blood loss and transfused packed RBC volume than the hysterectomy. It can be concluded that uterine artery ligation is an effective and safe alternative to hysterectomy for management of uncontrollable postpartum hemorrhage.

Key Words: Uterine artery, Ligation, Postpartum hemorrhage