The effectiveness of bilateral hypogastric artery ligation for XXXX in three different underlying conditions and its impact on future fertility.

@entity1 @entity1468 @entity548
OBJECTIVE: To evaluate the effectiveness of bilateral hypogastric artery ligation (BHAL) according to the underlying cause and future fertility in these @entity1 . METHOD: Fifty-eight @entity1 who underwent BHAL operation in our department between 1997 and 2008 were further divided into three subgroups in accordance with the underlying disease. Group 1: @entity1468 with coagulapathy (n:24). Group 2: Postpartum @entity548 (PPH) due to uterine atony (n:24). Group 3: Massive @entity548 due to inadequate surgical control of @entity548 and/or uterine rupture (n:10). Effectiveness of BHAL according to the underlying cause and future fertility after BHAL were evaluated. RESULTS: Success rate of BHAL was found to be 87.9% (51 out of 58 @entity1 ). Complication rates of the groups were 25%, 12.5%, and 10%, respectively. There was one maternal death in each group. Mean hospital stay, blood and blood products transfusion need were similar for all groups. Thirty @entity1 out of 58 had desired future fertility, and 17/30 (56.7%) of them became pregnant within less than 1 year. CONCLUSION: BHAL is a safe, effective, life-saving procedure in controlling massive PPH. It preserves future fertility and must be the first choice operation for PPH in young @entity1 whichever the underlying condition is.
