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Ligation of the right internal iliac artery. A. The peritoneum covering the right iliac vessels is opened and reflected. Inset. Unembalmed cadaveric dissection shows the most common location of the internal iliac vein, which lies lateral to the artery. Ideally, the ligature is place around the anterior division of the internal iliac artery to spare tissues supplied by its posterior division. (Inset, reprinted from American Journal of Obstetrics & Gynecology, Vol. 197, No. 6, AT Bleich, DD Rahn, CK Wieslander, et al., Posterior division of the internal iliac artery: Anatomic variations and clinical applications, pp. 658.e1–658.e5, Copyright 2007, with permission from Elsevier.) B. Ligation of the right internal iliac artery. A ligature is carried beneath the artery from laterally to medially with a right-angle clamp and firmly tied. Source: Chapter 35. Obstetrical Hemorrhage, Williams Obstetrics, 23e Citation: Cunningham F, Leveno KJ, Bloom SL, Hauth JC, Rouse DJ, Spong CY. Williams Obstetrics, 23e; 2010 Available at: http://mhmedical.com/ Accessed: April 30, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
