Conservative treatment of pelvic hematoma after sacrospinous fixation
Background. Pelvic organ prolapse is a common disease in women worldwide. Sacrospinous fixation is one of the most effective surgical treatments for genital prolapse. The frequency of postoperative hemorrhagic complications after this treatment is 0.2-2.2% and they mostly manifest themselves by retroperitoneal hematoma formation. The choice of a treatment for these complications depends on the size of hematoma, the clinical presentations of compression of the adjacent organs, the severity of hemorrhagic and pain syndromes, and the appearance of signs of hematoma infection.Yarin G.Yu., Vilgelmi I.A., Fedorenko V.N., Alekseeva A.V.
Description. The paper describes a clinical case of conservative treatment for retroperitoneal hematoma developed in a female patient on the second day after sacrospinous cervicopexy.
Discussion. The lack of clear recommendations and evidence-based studies on this problem requires further investigations, elaboration of diagnostic algorithms and therapeutic protocols for postoperative retroperitoneal hematomas.
Keywords
pelvic organ prolapse
sacrospinous fixation
postoperative hemorrhagic complications
retroperitoneal hematoma
Supplementary Materials
- Fig. 1. CT: pelvic hematoma (2d day after operation). Bladder is pushed to the right.
- Fig. 2. CT (vascular program): the iliac arteries are symmetrical, not damaged. Large venous trunks of don’t have visible lesions.
References
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Received 07.12.2016
Accepted 23.12.2016
About the Authors
Yarin G.Y., Ph.D., leading researcher, Head of the Functional Group of Neurourology, Ya.L. Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics, Ministry of Health of Russia; Head of the surgical department, Innovative Medical Technology Center “Clinic of NRITO”; head of the functional center of urology and gynecology, Center for Urology and Gynecology, JSC Innovative Medical Technology Center (Medical Technopark). 630091, Russia, Novosibirsk, Frunze str. 17. Tel.: +73833633131. E-mail: yaringennadiy@icloud.comVilgelmi Inna Alexandrovna, gynecologist, Innovative Medical Technology Center “Clinic of NRITO”; obstetrician-gynecologist, Center for Urology and Gynecology, JSC Innovative Medical Technology Center (Medical Technopark). 630091, Russia, Novosibirsk, Frunze str. 19a. Tel.: +79139012753. Email: vilgelmi@ngs.ru
Alexeeva Anastasia Vladimirovna, urologist, Innovative Medical Technology Center “Clinic of NRITO”; urologist, Center for Urology and Gynecology, JSC Innovative Medical Technology Center (Medical Technopark). 630091, Russia, Novosibirsk, Frunze str. 19a
For citations: Yarin G.Yu., Vilgelmi I.A., Fedorenko V.N., Alekseeva A.V. Conservative treatment
of pelvic hematoma after sacrospinous fixation.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (9): 144-7. (in Russian)
http://dx.doi.org/10.18565/aig.2017.9.144-7
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