title: A life-threatening hematoma after the single-incision sling MiniArc procedure: a case report.
abstract: The newer generation of single-incision slings such as the MiniArc may minimize these risks by avoiding the passage of needles through the obturator foramen and muscles. However, they may still lead to severe vascular injuries. We report a case of a life-threatening obturator hematoma forming after a MiniArc procedure. We determined the exact location using a computed tomographic scan of the pelvis, and it was surgically managed. The patient's symptoms subsided, and her vital signs stabilized after the hematoma was removed using a transvaginal approach. Single-incision slings may be associated with life-threatening vascular complications.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Changhua Christian Hospital and General Education Center, Chienkuo Technology University, Changhua, Taiwan. 13212@cch.org.tw
authors.forename: Mou-Jong
authors.initials: MJ
authors.lastname: Sun
mesh_terms: D000328:Adult; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010388:Pelvis / Q000000981:diagnostic imaging* / Q000601:surgery; D019919:Prosthesis Implantation / Q000009:adverse effects*; D053825:Suburethral Slings; D014463:Ultrasonography; D014550:Urinary Incontinence, Stress / Q000601:surgery*
keywords: Hematoma; MiniArc