[Ligation of internal iliac artery as treatment of hemorrhage in obstetrics and gynecology].

Twenty five cases of severe or persistent bleeding in obstetric and gynecologic patients treated with internal iliac arterial ligation are analyzed. A short history of every patient is described. There was no complication of the procedure neither ischemia after several years of control. Four pregnancies in two cases observed in seven years. The procedure failed in three cases, but was successful in the others. It is concluded that the coagulopathy when it is present must be corrected and the internal iliac arterial ligation is certainly it is a useful alternative as extreme solution in some cases of severe or persistent hemorrhage.