The patients will be divided into 2 groups:~Group (A) - Study group: Cases managed by uterine lower segment resection with ligation of the anterior division of the internal iliac artery (4 cm distal to the bifurcation of the common iliac artery).~Group (B) - Control group: Cases managed by uterine lower segment resection without ligation of the anterior division of the internal iliac artery.~In both groups, bilateral uterine artery ligation at 2 levels will be done; bilateral ligation at a level below the lower most placental part, followed by bilateral uterine artery ligation at the level of the hysterotomy incision.~The following operative details will be recorded:~Estimation of total blood loss~Pre and 24-h post-operative hemoglobin (g/dl).~The need for blood transfusion and its amount intra or post-operative will be recorded~Operative time and postoperative hospital stay will be recorded.~Close post-operative monitoring of the patients' vital signs, drain output, and urine output~Presence or absence of intraoperative complications; bladder, ureteric, bowel, or vascular injuries will be recorded.~Monitoring for postoperative morbidities
The patients will be divided into 2 groups:~Group (A) - Study group: Cases managed by lower segment resection with ligation of the anterior division of the internal iliac artery~Group (B) - Control group: Cases managed by lower segment resection without ligation of the anterior division of the internal iliac artery~The following operative details will be recorded:~Estimation of total blood loss~Pre and 24-h post-operative hemoglobin (g/dl).~The need for blood transfusion and its amount intra or postoperative will be recorded~Operative time and postoperative hospital stay will be recorded.~Close post-operative monitoring of the patients' vital signs, drain output, and urine output~Presence or absence of intraoperative complications; bladder, ureteric, bowel, or vascular injuries will be recorded.~Monitoring for postoperative morbidities