Cruikshank S H, Stoelk E M
South Med J. 1985 May;78(5):539-43. doi: 10.1097/00007611-198505000-00010.
Hypogastric artery ligation and internal iliac artery ligation are the same procedure. It has been several years since extensive work on this procedure has been reported in the literature. Since this has proved to be a potentially life-saving technique in serious obstetric and pelvic hemorrhage, it is somewhat surprising to find that the procedure is poorly understood. We have reviewed this procedure in depth, emphasizing important aspects and restating indications for its use. We have also included a case presentation in which we recently performed bilateral ligation of the hypogastric arteries and the ovarian arteries to control intractable hemorrhage. Although ovarian artery ligation is often mentioned as an adjunct in controlling pelvic hemorrhage, we believe the technique has never been described in the English language. We present a surgical technique for ligating the ovarian arteries, believing that teaching both bilateral hypogastric artery ligation and ovarian artery ligation should be an integral part of obstetric and gynecologic training.
腹下动脉结扎术和髂内动脉结扎术是同一手术。自该手术的大量研究工作在文献中报道以来已有数年。鉴于此手术已被证明在严重产科和盆腔出血中是一种可能挽救生命的技术，令人有些惊讶的是发现该手术并未得到充分理解。我们深入回顾了此手术，强调了重要方面并重新阐述了其使用指征。我们还纳入了一个病例报告，近期我们在此病例中进行了双侧腹下动脉和卵巢动脉结扎以控制难治性出血。尽管卵巢动脉结扎术常被提及作为控制盆腔出血的辅助手段，但我们认为该技术从未在英文文献中被描述过。我们介绍一种结扎卵巢动脉的手术技术，认为讲授双侧腹下动脉结扎术和卵巢动脉结扎术都应成为妇产科培训的一个组成部分。
