Manickavasagam Madhubala

Lakshmi Madhavan Hospital,, India

Publications

• Short communication
  Placenta previa and internal iliac artery ligation
  Author(s): Manickavasagam Madhubala
  
  Placenta previa is a condition where the placenta covers the opening of the cervix and causes symptoms like antepartum bleeding and intrapartum bleeding after delivery which most of the obstetricians fear about and not be willing to admit the patient in their set up because of PPH and its maternal complications. Since placenta previa demands LSCS, we encounter bleeding, which can be controlled very well with bilateral internal iliac artery ligation and the need for blood transfusion is greatly minimized to almost nil. Most of the times, the placental bed is sutured quickly and the uterus closed with 1-0 vicryl and the uterus is lifted up to visualize the posterior peritoneum, where we can feel the pulsation of the internal and external iliac arteries. By carefully opening the peritoneum, we can easily visualize the bifurcation and also spot the ureter, which always sticks to the poste.. Read More»