Internal Iliac Artery Ligation in Laparoscopic Myomectomy

Vessel ligation, typically the uterine artery, has been described as a preventative measure for bleeding in laparoscopic myomectomy. The internal iliac, or hypogastric artery, a vessel that obstetricians are familiar with ligating in the setting of postpartum hemorrhage, can also be used in laparoscopic myomectomy. In this video, we will review existing literature on vessel ligation in laparoscopic myomectomy, and then demonstrate internal iliac artery ligation as a prophylactic measure, as well as one to treat acute intraoperative hemorrhage.

Source: The Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Authors: MT Siedhoff, L Gubernick, I Ronen, KN Wright Tags: Plenary 1: Laparoscopy (11:00 AM – 12:45 PM) 11:10 AM Source Type: research