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Hypogastric Artery Ligation Periprocedural Care

  • Author: Chee Weng (David) Leong, MBBS; Chief Editor: Vincent Lopez Rowe, MD  more...
Updated: Dec 03, 2014

Patient Preparation

In the transabdominal or transperitoneal approach to hypogastric (internal iliac) artery ligation, the patient is adequately prepared “from nipples to knees” with 1% iodine in 70% alcohol or 0.5% chlorhexidine in 70% alcohol. Drapes are appropriately placed to expose the lower abdomen. In the retroperitoneal approach, this same area is adequately prepared with povidone-iodine or chlorhexidine. Drapes are placed appropriately to expose the lower abdomen. In the endovascular approach, the patient’s groin is adequately prepared for percutaneous arterial access.


General or regional anesthesia is used for the transabdominal, transperitoneal, or retroperitoneal approach to hypogastric artery ligation. General, local, or regional anesthesia is used for the endovascular approach.


The patient is placed supine.

Contributor Information and Disclosures

Chee Weng (David) Leong, MBBS Resident Medical Officer, Royal Perth Hospital, Australia

Disclosure: Nothing to disclose.


B Patrice Mwipatayi, MD Professor, School of Surgery, University of Western Australia, Royal Perth Hospital, Australia

Disclosure: Nothing to disclose.

Vikram Vijayan, MBChB, MRCS, FRCS Consultant in Vascular and Endovascular Surgery, Royal Perth Hospital, Western Australia

Disclosure: Nothing to disclose.

Chief Editor

Vincent Lopez Rowe, MD Professor of Surgery, Program Director, Vascular Surgery Residency, Department of Surgery, Division of Vascular Surgery, Keck School of Medicine of the University of Southern California

Vincent Lopez Rowe, MD is a member of the following medical societies: American College of Surgeons, American Heart Association, Society for Vascular Surgery, Vascular and Endovascular Surgery Society, Society for Clinical Vascular Surgery, Pacific Coast Surgical Association, Western Vascular Society

Disclosure: Nothing to disclose.

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