Hypogastric artery ligation. Presentation of a case from the Teófilo Dávila General Hospital
DOI:
https://doi.org/10.62452/gqqfjb32Keywords:
Obstetric hemorrhage, ligation of the uterine arteries, obstetric hysterectomyAbstract
Hemorrhage etymologically comes from the Latin haemorragia, from the Greek, αἱμορραγία composed of haima (blood) and regnymi (break), passed to Latin hemorrhage and later to Spanish, documenting it as emorragia in 1493. From a conceptual point of view, postpartum hemorrhage is defined as a blood loss greater than 500 ml in a vaginal delivery and greater than 1000 ml in a cesarean section, being among the leading causes of maternal death worldwide. The hypogastric artery is a large caliber vessel, responsible for the irrigation of a large area of the pelvis and the organs located there. Hypogastric artery ligation is a surgical technique that was first described in 1894 with the aim of reducing gynecological and obstetric hemorrhage, since it endangers the life of the patient, increasing morbidity and mortality. This therapeutic surgical procedure should be taken into account as an effective method in the control of severe gynecological hemorrhages, where intraoperative complications are foreseeable with adequate knowledge of retroperitoneal anatomy.
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