The authors discuss how the extent of embolization of the internal iliac arteries, bilateral compared to unilateral, may increase the risk of complications.
A: embolization coils in bilateral internal iliac arteries. B: extravasation of contrast outside of the bladder.
Moreover, the internal iliac arteries
were supplied by two voluminous lumbar arteries raised from the end of the aortic permeable lumen.
Complications of this technique with proximal ligation of the internal iliac arteries i.e.
Ligation of internal iliac arteries for hemorrhage in hysterectomy for carcinoma uteri.
Fertility following ligation of internal iliac arteries for life threatening obstetric haemorrhage: Case report.
The Gore Excluder Iliac Branch Endoprosthesis system provides a treatment range of 6.5-13.5 mm for the internal iliac arteries
, and a treatment range of 6.5-25 mm for the external iliac arteries.
SUMMARY: The objective of this study was to describe the anatomy of the opossum abdominal aorta sacral rami, emphasizing the common iliac arteries, external and internal iliac arteries and the middle sacral artery.
The abdominal aorta emitted rami, forming the right and the left common iliac arteries that divided, originating the external and internal iliac arteries. The middle sacral artery presented in 30% of cases now caudally rising from the right common iliac artery, then from the left one (30%) or in most cases (40%), as a continuation of the abdominal aorta artery.
Long term observation of patients after bilateral ligation of internal iliac arteries
. Ginekol Pol 1995; 66: 533-6.
Group B (traditional technique) (N-30) = delivery of baby > delivery of placenta and its membrane> injection oxytocin in intravenous trans fusion (10 unit 30 drops/min in 500 ml of 5% dextrose)> traditional surgical intervention either bilateral uterine or internal iliac arteries or cesarean hysterectomy to control intra operative hemorrhage > closure of uterine wound in two layers by chromic catgut no-1 suture > closure of abdomen in layers by chromic catgut no-1 suture.
It reduces the perfusion pressure, permits time for further steps in presence less haemorrhage from operative field, thereby avoiding unnecessary (Group B) ligation of bilateral internal iliac arteries and cesarean hysterectomy.