内腸骨動脈結紮術

Abstract

Surgeons sometimes encounter severe uncontrollable pelvic hemorr h age, and under the stress of hemorrhage, they often find it difficult to ligate the proper vessel. There is, however, an ideal short cut for the difficult pelvic surgery in which the point is the ligation of the internal iliac arteries. Pelvic organs are supp l ied with blood, chiefly from the visceral branch of the internal iliac artery, and additionally from th entirely different sources, such as the inferior mesenteric artery and the ovarial artery. There are complex bypaths between the internal iliac and the inferior mesenteric arteries, which makes it possible for the pelvic organs to survive without blood supply from the internal iliac artery, pelvic hemorrhage being naturally controlled. Th e authors have applied the procedure in clinic and believe this is worth reporting.