Pelvic arterial embolization in the setting of acute hemorrhage as a result of the anterior Prolift procedure.
Acute hemorrhage following pelvic reconstructive surgery is a complication requiring immediate evaluation and treatment. Therapeutic options include fluid resuscitation, tamponade techniques, exploratory surgical intervention, and, more recently, pelvic vessel embolization. New approaches to pelvic organ prolapse have been evolving rapidly with little reported on safety and efficacy. We present a 77-year-old female who had a life-threatening acute pelvic hemorrhage from an anterior Prolift procedure successfully treated with pelvic artery embolization.
Mokrzycki
Mark L
ML
Division of Urogynecology and Reconstructive Pelvic Surgery, Saint Peter's University Hospital, 254 Easton Avenue, MOB 4th Floor, New Brunswick, NJ 08901, USA. mmokrzycki@saintpetersuh.com
Hampton
Brittany Star
BS
D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D010388:Pelvis / Q000098:blood supply*; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000628:therapy*; D019919:Prosthesis Implantation / Q000009:adverse effects*; D014596:Uterine Prolapse / Q000601:surgery*