title: Single incision laparoscopy for the management of postoperative hemorrhage.
abstract: BACKGROUND
  Single incision laparoscopic surgery is being used as an access route for an increasing breadth of surgical cases. However, its use to evaluate and manage postoperative hemorrhage after laparoscopic surgery has not been reported.
  
  
  METHODS
  A patient  with recurrent cervical dysplasia who had undergone 2 previous cold knife conizations underwent a single incision total laparoscopic hysterectomy with right salpingectomy and left salpingo-oophorectomy. On postoperative day 1, she developed signs of intraabdominal hemorrhage. She underwent  transcatheter arterial embolization of the left uterine artery and received 3U of packed red blood cells. However, on postoperative day 2, she developed signs of persistent bleeding.
  
  
  CONCLUSIONS
  We discuss our management of this case with single incision laparoscopy.
authors: Vanderbilt Medical Group, Nashville, TN, USA. howard.cin@us.army.mil
authors: Howard
authors: H
authors: Curlin
authors: Stacey
authors: S
authors: Scheib
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D010535:Laparoscopy / Q000379:methods*; D019106:Postoperative Hemorrhage / Q000628:therapy*; D055988:Uterine Artery; D002577:Uterine Cervical Diseases / Q000601:surgery*