Hysterectomy, massive transfusion and packing to control haemorrhage from pelvic veins in the course of bilateral oophorectomy.
The patient required bilateral salpingoophorectomy for pain caused by the late effects of pelvic infection. Division of adhesions was followed by torrential bleeding from the gluteal tributaries of the right internal iliac vein aggravated by the partial retraction of those veins into the subgluteal region. Measures to control the bleeding and the late complications are described.
Edwards
W R
WR
Wairau Hospital, Blenheim, New Zealand.
D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007084:Iliac Vein; D007431:Intraoperative Complications; D008026:Ligation; D010048:Ovarian Cysts / Q000601:surgery; D010052:Ovariectomy; D000292:Pelvic Inflammatory Disease / Q000601:surgery; D011183:Postoperative Complications; D012584:Sciatic Nerve / Q000293:injuries; D015607:Stents; D000267:Tissue Adhesions; D014513:Ureter / Q000293:injuries