Hypogastric (Internal Iliac) Artery Ligation Periprocedural Care

Updated: Aug 18, 2020
  • Author: Chee Weng (David) Leong, MBBS; Chief Editor: Vincent Lopez Rowe, MD  more...
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Periprocedural Care

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.

Anesthesia

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.

Positioning

The patient is placed supine.