Internal iliac artery ligation in the management of pelvic haemorrhage - a district general hospital experience

Haemorrhage from obstetric and gynaecological surgery is a major cause of morbidity and mortality. Various methods have been described to treat women with intractable haemorrhage. Internal iliac artery ligation (IAL) is an underused but potentially very effective technique. We describe four cases where the procedure was used in controlling severe pelvic haemorrhage when other surgical methods had failed