Abstract
Internal iliac artery ligation – time to revive a dying art
Highlights
Before internal iliac artery ligation (IIAL) was considered a feasible approach to the problem of pelvic haemorrhage, blood, time and lives were lost
Various modifications to the technique followed in the years afterwards and hysterectomy remained the sole method of controlling life threatening haemorrhage following childbirth in the past
The necessity to perform IIAL can only be expected to rise in the future due to the escalating rates of caesarean delivery with its concomitant increase in the incidences of placenta praevia and accreta, potentially lethal conditions associated with caesarean delivery
Summary
Before internal iliac artery ligation (IIAL) was considered a feasible approach to the problem of pelvic haemorrhage, blood, time and lives were lost. The procedure has saved numerous lives ever since it was widely used as a means of controlling intractable pelvic haemorrhage. Ligation of internal iliac arteries has stood the test of time as a safe and effective means of controlling life threatening pelvic haemorrhage without compromising the rest of the pelvic blood supply
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