Bilateral Uterine Artery Ligation
Bilateral ligation of the uterine vessels o leary stitch is the preferred approach for controlling pph from laceration of the uterine artery or branches of the utero ovarian artery.
Bilateral uterine artery ligation. For statistical analysis mann whitney u chi 2 and wilcoxon rank tests were used. However the long term effects of this procedure on ovarian function remain unclear. No you cannot code separately for a bilateral uterine artery ligation with z stich done during a c section because hemostatsis is part of any surgical procedure. While the uterus may remain atonic blanching is usually noted and blood flow is greatly diminished or.
Bilateral uterine artery ligation ual is a fertility preserving procedure used in women experiencing postpartum hemorrhage pph. In animal models the most common procedure to induce artificial placental dysfunction in rat offspring is bilateral uterine artery ligation during late gestation of dams. Myomectomy was performed with a tourniquet. All baboons also underwent colpotomy cervico vaginal reanastomosis and intraoperative near infrared fluorescence imaging after vessel ligation.
In the postoperative period transabdominal sonography vaginoscopy and endocervical biopsy were performed on. Atonic postpartum hemorrhage and placental site bleeding due to adherent placenta accreta can be safely controlled by bilateral uterine artery ligation followed by b lynch compression suturing in women who desire to remain fertile. If this does not control bleeding the vessels of the utero ovarian arcade are similarly ligated. In the first group bilateral ascending uterine artery ligation and myomectomy were performed after lower uterine segment transverse cesarean section.
The second group served as the control group. Uterine arteries and the uterine veins bilaterally. During a massive pelvic hemorrhage or peripartum bleeding bilateral ligation of the iia reduces the pelvic arterial blood flow by 49 and pulse pressure by 85. Opening the broad ligament is unnecessary.
Perform bilateral uterine artery ligation.