COMMENT & CONTROVERSY

No mention of hypogastric artery ligation?

“Postpartum hemorrhage: Solutions to 2 intractable cases,” by Michael L. Stitely, MD, and Robert B. Gherman, MD (April 2007)

Although I enjoyed the article on postpartum hemorrhage, I was disappointed that the authors left out hypogastric artery ligation when they discussed management options for intractable hemorrhage. Bilateral ligation is effective and can spare patients from hysterectomy.