Postoperative care

Intensive care is necessary because these women may be moribund and have required huge blood transfusion. Large hematomas or collections of serosanguineous fluid can be drained through separate stab wounds. Usually, this is unnecessary. Antibiotics are not indicated after ligation of the arteries. Their use is dictated only by the presence of infection. Early ambulation is advisable in all cases. An indwelling catheter may be necessary to facilitate adequate assessment of urinary output in women who are at risk of serious morbidity.

Internal Iliac Artery Branches ProvisoInternal Organs

Figure 1 Ligation of the anterior branch of the internal iliac artery with its associated vein.

(a) Demonstrable vulnerability of internal iliac vein and obturator nerve in close proximity; (b) A 'skeletal'

anatomy, showing proximity of external iliac artery, ureter and anterior branches of sciatic nerve

Figure 1 Ligation of the anterior branch of the internal iliac artery with its associated vein.

(a) Demonstrable vulnerability of internal iliac vein and obturator nerve in close proximity; (b) A 'skeletal'

anatomy, showing proximity of external iliac artery, ureter and anterior branches of sciatic nerve

Pregnancy And Childbirth

Pregnancy And Childbirth

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