{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:39:12Z","timestamp":1793813952785,"version":"4.6.1"},"reference-count":28,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Internal iliac artery ligation due to severe postpartum hemorrhage has several pathophysiological consequences in terms of blood supply of the uterus. In this context, this study aimed to evaluate the sonographic changes in the uterine arteries after internal iliac artery ligation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The population of this case\u2013control study consisted of women unresponsive to conservative medical treatment who underwent internal iliac artery ligation for severe postpartum hemorrhage between January 2022 and December 2022. Women who underwent internal iliac artery ligation were included in the internal iliac artery ligation group, and those with similar postpartum age, parity, and body mass index were included in the control group. This retrospective case\u2013control study included 62 patients with postpartum hemorrhage and ongoing bleeding despite all conservative medical treatments who underwent internal iliac artery ligation as well as 86 patients who were also in the postpartum period and had similar age, body mass index, and parity but did not have a history of postpartum hemorrhage at birth and did not undergo internal iliac artery ligation. The pulsatility index, resistance index, and maximal-to-minimal diastolic flow of the uterine arteries were calculated using color and pulsed Doppler imaging at the 6-month follow-up and compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 62 and 86 women in the internal iliac artery ligation and control groups, respectively. There was no significant difference between the two groups in terms of demographic and clinical characteristics and obstetric history (p\u2009&gt;\u20090.05). There was also no significant difference between the two groups in terms of the pulsatility index, resistance index, and maximal-to-minimal diastolic flow of the uterine arteries determined at the 6-month follow-up (p\u2009&gt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study\u2019s findings demonstrated that internal iliac artery ligation has no adverse effect on the sonographic blood flow indexes of the uterine arteries in women with postpartum hemorrhage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605251335796","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T18:04:52Z","timestamp":1745949892000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Effect of internal iliac artery ligation on sonographic blood changes in the uterine arteries: A case\u2013control study in women with postpartum hemorrhage in sub-Saharan Africa"],"prefix":"10.1177","volume":"53","author":[{"given":"\u0130lkan","family":"Kayar","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Osmaniye State Hospital, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1939-3743","authenticated-orcid":false,"given":"\u00d6zer","family":"Birge","sequence":"additional","affiliation":[{"name":"Department of Gynecological Oncology, Niger Turkey Friendship Hospital, Niger"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferhat","family":"\u00c7etin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Osmaniye Park Hospital, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20180898"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000322"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deg161"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2017.10.029"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2007.049"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.574751"},{"key":"e_1_3_9_8_2","first-page":"7823","article-title":"Evaluation of uterine artery recanalization and Doppler parameters after bilateral uterine artery ligation in women with postpartum hemorrhage","volume":"8","author":"Kaplanoglu M","year":"2015","unstructured":"Kaplanoglu M, Karateke A, Un B, et\u00a0al. 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Ligature therapeutique des arteres hypogastriques: surveillance par echo-Doppler couleur [Therapeutic ligature of hypogastric arteries: color Doppler follow-up]. J Radiol 2000; 81: 607\u2013610.","journal-title":"J Radiol"},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.101533"},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1212333"},{"key":"e_1_3_9_21_2","first-page":"168","article-title":"Bilateral uterine and ovarian artery ligation in addition to B-lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhage","volume":"39","author":"Gezgin\u00e7 K","year":"2012","unstructured":"Gezgin\u00e7 K, Yazici F, Koyuncu T, et\u00a0al. Bilateral uterine and ovarian artery ligation in addition to B-lynch suture may be an alternative to hysterectomy for uterine atonic hemorrhage. 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