title: [Severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse - case study].
abstract: OBJECTIVE
  To describe a case of a severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse.
  
  
  METHODS
  Case study.
  
  
  METHODS
  Department of Obstetrics and Gynecology, Medical Faculty in Pilsen, Charles University in Prague.
  
  
  METHODS
  A 55-year-old woman underwent a surgery with a Prolift procedure for vaginal prolapse after hysterectomy. The surgery was carried out without any complications. In the first 24 hours after Prolift surgery we diagnosed massive bleeding and hypovolemic shock. The condition required repeated re-exploration and ligation of hypogastric artery and pelvic packing to stop the bleeding.
  
  
  CONCLUSIONS
  Bleeding is a major complication in gynecological surgery. Severe hemorrhage is a rare condition after surgical treatment of vaginal prolapse after hysterectomy using a Prolift procedure.
authors.forename: P
authors.initials: P
authors.lastname: Chaloupka
authors.forename: M
authors.initials: M
authors.lastname: Smažinka
authors.forename: M
authors.initials: M
authors.lastname: Havíř
mesh_terms: D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D019106:Postoperative Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery