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Essay / Long-term sequelae of hypogastric artery ligation or embolization in patients Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get Original Essay (MAP) and techniques such as adjuvant intraoperative hypogastric artery ligation at the time of cesarean-hysterectomy (C-hyst) have been implemented in an attempt to decrease intraoperative blood loss. However, little research has been devoted to the long-term post-surgical sequelae resulting from elective hypogastric artery ligation or embolization in the setting of Chyst. Interruption of the hypogastric artery has classically been performed in cases of trauma or as an unwanted side effect of vascular operations and, although generally considered benign, it can lead to ischemic complications including buttock claudication, ischemia spinal cord and sexual dysfunction. The results of this retrospective cohort study show no significant long-term sequelae of hypogastric artery ligation or embolization in PAD patients treated with C-hyst. condition in which the placental chorionic villi implant directly into the uterine wall. The incidence of PAD has increased significantly over the past decade, now affecting approximately 1 in 300 pregnancies (1). The average blood loss at delivery without additional procedures such as hypogastric artery ligation or balloon occlusion is 3,000 to 5,000 ml, and the maternal mortality rate has been reported to be as high as 7% (2). Planned cesarean hysterectomy (C-hyst) is the most common surgical treatment option for patients with PAD. Several additional procedures such as ligation of the hypogastric artery, placement of an occlusion balloon or embolization can be performed. They have been shown to decrease blood loss, in some cases by up to 1,000 ml (3,4). However, little is known about the long-term effect. long-term sequelae of ligation or embolization of the hypogastric artery in the setting of hyst C. Interruption of the hypogastric artery can lead to ischemic complications, including buttock claudication, ischemia of the spinal cord and sexual dysfunction (5,6). The aim of this study was to evaluate the long-term sequelae of patients with PAD who underwent hyst C with concomitant ligation or embolization of the hypogastric artery. Methods This study was approved by the Institutional Review Board based on our intuition. A retrospective cohort analysis of all consecutive patients with PAD who underwent C-hyst at a single institution between January 2011 and 2016 was performed. A total of 35 patients were identified and contacted for a telephone survey discussing post-procedural symptoms potentially related to hypogastric artery ligation or embolization. Patient demographics, operative reports, and clinical notes were also reviewed. The control group consisted of patients with PAD who underwent hyst C without concomitant ligation or embolization of the hypogastric artery. The study group included patients with PAD who underwent hyst C with concomitant ligation or embolization of the hypogastric artery. Continuous variables were compared using the Student t test and the nonparametric Wilcoxon test for means. Categorical variables were compared using Fisher's test 3..
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