Raba Grzegorz
University of Rzeszow, Poland, Poland.
Ginekol Pol. 2020;91(1):29-31. doi: 10.5603/GP.2020.0007.
Internal Iliac artery ligation (IIAL) is an effective life-saving method to control obstetric hemorrhage, and a hysterectomy can often be avoided. A standard ligation procedure requires wide tissues dissection: incision in the peritoneum lateral to and parallel with the ureter. That can be traumatic and is difficult in practice what results in a rare use of IIAL in surgical emergency. As an alternative a novel, small invasive technique was used, which protocol is attached to the paper as a video presentation file.
Forty-five women treated by Internal Iliac Artery ligation for postpartum haemorrhage. In 27 patients (Cohort A) standard IIAL procedure by Kelly's method was used. In the remaining 18 patients (Cohort B) a novel, small invasive technique was performed. Time of both surgical procedures of IIAL was measured.
Time of Standard technique of IIAL vs Novel small invasive technique of IIAL: 34 (26-41) min. vs 13 (8-16) min. p < 0.001.
The presented novel small invasive technique of Internal Iliac artery ligation can be an easier and safe alternative for standard ligation procedure.
髂内动脉结扎术（IIAL）是控制产科出血的一种有效的挽救生命的方法，常常可以避免子宫切除术。标准的结扎手术需要广泛的组织解剖：在输尿管外侧并与之平行处切开腹膜。这可能具有创伤性，且在实际操作中难度较大，导致IIAL在外科急诊中很少使用。作为一种替代方法，采用了一种新型的微创技术，其操作流程作为视频演示文件附在本文中。
45名妇女因产后出血接受髂内动脉结扎术治疗。27例患者（A组）采用凯利法进行标准IIAL手术。其余18例患者（B组）采用一种新型的微创技术。测量了IIAL两种手术方法的时间。
IIAL标准技术与新型微创技术的时间：34（26 - 41）分钟对13（8 - 16）分钟，p < 0.001。
所介绍的新型髂内动脉结扎微创技术对于标准结扎手术而言可能是一种更简便且安全的替代方法。
