Bilateral absence of common iliac artery: Abnormal internal iliac artery during ligation in conservative surgical management of placenta accreta

Conclusion Cesarean section and placenta previa are significant risk factors for placenta accreta whichis associated with high fetomaternal morbidity and mortality. In order to avoid postpartum hemorrhage and fertility loosing hysterectomy, our approach which consists of bilateral hypogastric arterial ligation and transverse compression sutures can be applied succesfully. Proper identification of anatomical variations in pelvic vasculature is essential for surgical and radiological interventions to prevent complications. This article aims at sharing author's experience about usefulness of this surgical procedure in arrest of pelvic hemorrhage and to remove the inhibition among practicing gynecologists regarding this procedure.
Source: Reviews in Vascular Medicine - Category: Cardiology Source Type: research