Internal Iliac Artery Ligation in Refractory Pelvic Haemorrhage following Obstetric Surgery: A Life Saving Intervention

Dr. Meghna Malu, Dr. Shrinivas Gadappa, Dr. Rupali Gaikwad, Dr. Apurva Tribhuvan, Dr. Gloriosa Galdiola, Dr. Swapnil Wasekar, Dr. Vaishanvi Dhakne, Dr. Uma Dombe

Abstract: Postpartum haemorrhage (PPH) remains a major cause of maternal morbidity and mortality. Despite timely obstetric hysterectomy, postoperative bleeding may persist due to collateral pelvic circulation. Internal iliac artery ligation (IIAL) significantly reduces pelvic pulse pressure, promoting haemostasis without compromising pelvic organ viability. We present a case of a young woman who developed a massive pelvic haematoma following LSCS and obstetric hysterectomy, successfully managed with bilateral IIAL.

Keywords: Postpartum haemorrhage, Internal iliac artery ligation, Obstetric hysterectomy, Pelvic haematoma, Maternal morbidity

How to Cite?: Dr. Meghna Malu, Dr. Shrinivas Gadappa, Dr. Rupali Gaikwad, Dr. Apurva Tribhuvan, Dr. Gloriosa Galdiola, Dr. Swapnil Wasekar, Dr. Vaishanvi Dhakne, Dr. Uma Dombe, "Internal Iliac Artery Ligation in Refractory Pelvic Haemorrhage following Obstetric Surgery: A Life Saving Intervention", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 2079-2082, https://www.ijsr.net/getabstract.php?paperid=MR251222182825, DOI: https://dx.doi.org/10.21275/MR251222182825