Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta

Internal Iliac Artery Ligation Before Cesarean Hysterectomy in Morbidly Adherent Placenta: A Randomized Clinical Trial

40 pregnant females at term diagnosed with morbidly adherent placenta and planned for elective cesarean section were recruited and randomized to 2 groups. Group A: Internal iliac ligation followed by cesarean hysterectomy. Group B: cesarean hysterectomy.

Inclusion Criteria:

• Placenta previa accreta
• Previous 2 cesarean section
• completed her family
• Hemoglobin > 11 gm/dl
• Elective cesarean hysterectomy

Exclusion Criteria:

• Anemia ( Hemoglobin < 11 gm/dl)
• Not completed her family
• BMI > 35 Kg/m2
• Bleeding tendency
• Emergengy cesarean section
• Thrombophilia