How do you ligate the uterine artery?

A large atraumatic (round) needle is used with a heavy absorbable suture. Include almost the full thickness of the myometrium to anchor the stitch and to ensure that the uterine artery and veins are completely included. The needle is then passed through an avascular portion of the broad ligament and tied anteriorly.

What is the success rate of uterine artery ligation?

In contrast, uterine artery ligation has been shown to have a success rate of 92% and a complication rate of 1%. Both these techniques aim to leave the uterus intact and preserve fertility.

Is UAE less successful after uterine artery ligation?

UAE is a less invasive technique that has success rates similar to UAL [1]. The advantage of utilisation of UAE early in the management protocol of severe refractory PPH has been well documented. In case of failure, surgical techniques (arterial ligation/hysterectomy) can be undertaken without any hindrance.

At what level is the uterine artery clamped and ligated?

First clamp is to be placed at the level of internal cervical Os close to the uterus whereas second clamp is placed at right angles to close to first clamp to be followed by cutting of ligated (A1) uterine vessels with the scalpel in between 1st and second clamp upto the tip of 1st clamp – ligated by transfixation …

Which artery is ligated during hysterectomy?

Uterine artery ligation at the beginning of total laparoscopic hysterectomy reduces total blood loss and operation duration.

Which artery is ligated in PPH?

Bilateral ligation of the uterine vessels (O’Leary stitch) is the preferred approach for controlling PPH from laceration of the uterine artery or branches of the utero-ovarian artery. If this does not control bleeding, the vessels of the utero-ovarian arcade are similarly ligated.

Does uterine artery ligation affect fertility?

Conclusions: Uterine artery ligation, whether or not associated with utero-ovarian ligament ligation, for PPH does not appear to compromise the patients’ subsequent fertility and obstetrical outcome.

How long does it take for a uterine artery embolization to work?

Most women get significant symptom relief in the first three months after treatment. In addition, some research shows that five years after treatment uterine artery embolization continues to reduce symptoms such as heavy bleeding, urinary incontinence and abdominal enlargement in most women.

Can I get pregnant after uterine artery embolization?

Pregnancy is possible after uterine fibroid embolization, or UFE. There are risks however. There is an age-related risk of ovarian impairment. Studies show that there is a change in ovarian function after UFE.

How long does hysterectomy surgery take?

After the womb and cervix have been removed, the incision will be sewn up. The operation usually takes about an hour to complete. A vaginal hysterectomy can either be carried out using: general anaesthetic – where you’ll be unconscious during the procedure.

What happens to uterine artery during hysterectomy?

Prior uterine artery ligation at its origin during TLH reduces the blood loss and surgical duration as well as the complications during surgery. As the expertise of the surgeon increases in retroperitoneal dissection, the duration of the procedure also reduces considerably.

How do you ligate the uterine artery? A large atraumatic (round) needle is used with a heavy absorbable suture. Include almost the full thickness of the myometrium to anchor the stitch and to ensure that the uterine artery and veins are completely included. The needle is then passed through an avascular portion of the broad…