Likeman R K
Kirwan Hospital for Women, Townsville, North Queensland, Australia.
Aust N Z J Obstet Gynaecol. 1992 Aug;32(3):256-62. doi: 10.1111/j.1479-828x.1992.tb01961.x.
Ligation of the internal iliac (hypogastric) arteries in cases of massive obstetric and gynaecological haemorrhage can be a life-saving operation, but it has never been widely practised in the British gynaecological tradition. There may be historical reasons for this. A series of 13 cases is presented from one Australian hospital over a 5-year period, and a very low rate of Caesarean hysterectomy is demonstrated. A wider knowledge of the technique is recommended. Alternative methods of management, including angiographic embolization and the use of prostaglandins are discussed.
在产科和妇科大出血病例中，结扎髂内（腹下）动脉可能是一种挽救生命的手术，但在英国妇科传统中从未广泛应用。对此可能存在历史原因。本文介绍了一家澳大利亚医院在5年期间的13例病例系列，并显示出剖宫产子宫切除术的发生率非常低。建议更广泛地了解该技术。还讨论了包括血管造影栓塞和使用前列腺素在内的其他管理方法。
