Allahbadia G
Department of Obstetrics and Gynaecology, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Bombay, India.
J Gynecol Surg. 1993 Spring;9(1):35-42. doi: 10.1089/gyn.1993.9.35.
This study was conducted at the Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Bombay. An analysis was made of the hypogastric artery ligations done at our institution from January 1985 to December 1990. A prospective pilot study beginning June 1989 was added to the existing data. The hemostasis achieved intraoperatively and the collateral circulation maintained after main trunk ligation vs selective anterior division ligation have been studied prospectively with pelvic angiography postoperatively. Pelvic angiography using the standard Seldinger technique was done 14 days posthypogastric artery ligation in emergency obstetric cases. In selected gynecologic cases posted for Wertheim's hysterectomy, pelvic angiography was done both before and after hypogastric artery ligation. All the collected data, including operative time, blood loss, and complications, have been tabulated and compared with other studies in the literature.
本研究在孟买锡安的洛卡曼亚·蒂拉克市立医学院及综合医院开展。对我院1985年1月至1990年12月期间进行的髂内动脉结扎术进行了分析。1989年6月开始的一项前瞻性试点研究被纳入现有数据。术后通过盆腔血管造影术对术中实现的止血情况以及主干结扎与选择性前支结扎后维持的侧支循环进行了前瞻性研究。在急诊产科病例中,于髂内动脉结扎术后14天采用标准Seldinger技术进行盆腔血管造影。在选定的计划进行韦特海姆子宫切除术的妇科病例中,在髂内动脉结扎术前和术后均进行了盆腔血管造影。所有收集的数据,包括手术时间、失血量和并发症,都已制成表格,并与文献中的其他研究进行了比较。