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Surgical Skills on Internal Iliac Artery Ligation for Controlling  Postpartum and Pelvic Hemorrhage

Surgical Skills on Internal Iliac Artery Ligation for Controlling Postpartum and Pelvic Hemorrhage

          
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About the Book

• Ready reference for clinicians to attend emergency in the operation theatre.
• Explains relevant anatomy identifiable landmark, such as sacral promontory and psoas muscle to make the procedure quick, easy to learn and perform.
• Stresses on finger dissection method to locate the anterior division of internal iliac artery.
• The differences and variations between right and left side vessels have also been described.
• Provides different tips for operation, such as bleeding from lower segment caesarean section (LSCS) wound; uterine artery ligated 2 to 3 cm below the incision line.
• Contains full colour cadaver photographs and parallel live illustrations for learning step-by-step operation skills.

About the Author

Rekha Sapkal MBBS DGO MD FICOG



Table of Contents:
1. Evidence-based Guidelines: Abstract of Research Paper 1 When Disaster Strikes in the Pelvis 1 2. Indications for Anterior Division of Internal Iliac Ligation, Operation Steps and Tips 5 Obstetric Indications with Hemorrhage for Internal Iliac Ligation 5 Steps 6 Internal Iliac and Anterior Branch 6 Right Side Finger Dissection 15 3. Internal Iliac Artery: A Study on Cadaver 19 Internal Iliac Anatomy and Working Knowledge of Vessel 19 Length of Vessel 28 Methodology—Right Side 34 4. Working Knowledge: Applied Anatomy 39 Step 1—Exploration of Operation Field 39 Step 2—Direction and Extent of Incision on the Peritoneum 45 Step 3—Superficial Dissection with Fingers 49 Step 4—Dissection in Depth with Fingers 54 Step 5—Terminal Interior Division 60 Procedure on the Right Side 63 5. Internal Iliac Artery Ligation of Anterior Division by Finger Dissection Methods 67 Internal Iliac Anatomy and Working Knowledge of Vessel 67 Contents Prelims.indd 11 11/7/2014 4:39:29 PMxii Surgical Skills on IIAL Step One 69 Step Two 71 Step Three 74 Step Four 74 Step Five: Explore the Vessels with Fingers in the Depth and on Medial Side 76 Step Six: Poke the Fingers Medially to External Iliac to Identify Internal Iliac 76 Step Seven: Where to Ligate? 82 Step Eight: Look for Nearby Veins Avoid their Handling 86 Step Nine: Artery Forceps is Pushed below Gently 87 Step Ten: Create Few mm Space below the Artery with Finger Tip or Blunt Tip of Forceps 89 Step Eleven: Artery is Opened to Hold the Ligature which is Drawn Later 90 Methodology—Right Side 91 Finger Dissection Method of the Internal Iliac Ligation—Technical Points 97 6. Maternal Mortality Rate in India 104 Overview of Postpartum Hemorrhage in Rural Set-up 104 7. To Focus Postpartum Hemorrhage 108 Focus on Improving Operative Skills for Management of Postpartum Hemorrhage 108 Choice of Next Operative Treatment for Control of Postpartum Hemorrhage 114 8. Nutshell Take Home Message 123 Fifteen Years I took to Learn Internal Iliac Ligation 123 Index 131


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Product Details
  • ISBN-13: 9789350253786
  • Publisher: Jaypee Brothers Medical Publishers
  • Binding: PAPERBACK
  • Edition: 1
  • Language: English
  • Returnable: Y
  • Weight: 110 gr
  • ISBN-10: 935025378X
  • Publisher Date: 20 Feb 2015
  • Depth: 13
  • Height: 178 mm
  • No of Pages: 160
  • Spine Width: 9 mm
  • Width: 121 mm


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Surgical Skills on Internal Iliac Artery Ligation for Controlling Postpartum and Pelvic Hemorrhage
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