GynaePulse
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Uterine / internal iliac artery ligation

Surgical control of pelvic haemorrhage.

Source: Standard operative texts

Techniques

Uterine (O’Leary)Push bladder down; No. 1 absorbable through myometrium 2–3 cm medial to vessels at lower-segment level; both sides.
Internal iliacOpen retroperitoneum at bifurcation; identify ureter; ligate 2.5–3 cm distal to bifurcation; check femoral pulse before tying.
Interventional radiology embolisation is preferred where available.
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