Evidence map›Paper›PMID 38248429›Full record

ReviewClinics and practice2023

Internal Iliac Artery Ligation in Obstetrics and Gynecology: Surgical Anatomy and Surgical Considerations.

Stoyan Kostov, Yavor Kornovski, Rafał Watrowski, Stanislav Slavchev, Yonka Ivanova, Angel Yordanov

Open access · goldAbstract readReview
In one paragraph

Review in Clinics and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Stoyan KostovResearch Institute, Medical University Pleven, 5800 Pleven, Bulgaria.ORCID 0000-0002-5279-3095
Yavor KornovskiDepartment of Gynecology, Hospital "Saint Anna", Medical University, 9002 Varna, Bulgaria.
Rafał WatrowskiDepartment of Obstetrics and Gynecology, Helios Hospital Müllheim, 79379 Müllheim, Germany.ORCID 0000-0002-6828-1887
Stanislav SlavchevDepartment of Gynecology, Hospital "Saint Anna", Medical University, 9002 Varna, Bulgaria.ORCID 0000-0003-4830-6159
Yonka IvanovaDepartment of Gynecology, Hospital "Saint Anna", Medical University, 9002 Varna, Bulgaria.
Angel YordanovDepartment of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria.ORCID 0000-0002-7719-382X
Medical University Pleven · BGUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The internal iliac artery (IIA) is the main arterial vessel of the pelvis. It supplies the pelvic viscera, pelvic walls, perineum, and gluteal region. In cases of severe obstetrical or gynecologic hemorrhage, IIA ligation can be a lifesaving procedure. Regrettably, IIA ligation has not gained widespread popularity, primarily due to limited surgical training and concerns regarding possible complications, including buttock claudication, impotence, and urinary bladder and rectum necroses. Nowadays, selective arterial embolization or temporary balloon occlusion are increasingly utilized alternatives, which can be applied preoperatively or intraoperatively for threatening severe genital or pelvic bleeding. However, IIA ligation retains its relevance, as the previously described procedures are not always available and have limitations. This article provides a step-by-step guide to the IIA ligation procedure and its possible complications. It also includes a detailed description of the anatomy of the IIA and pelvic arterial anastomoses. This review highlights the importance of a thorough understanding of pelvic anatomy as a prerequisite for safe IIA ligation and posits that training in this procedure should be an integral part of obstetrics and gynecology curricula.

Indexed as

anastomosesanatomycomplicationsinternal iliac artery ligationobstetrics and gynecologystep-by-step

Identifiers

PMID38248429
PMCPMC10801552
OpenAlexW4390266064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.