Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure

• Autor(a) principal: Arruda,Germano José Ferraz de
• Data de Publicação: 2020
• Outros Autores: Bonfitto,Miguel, Arruda Neto,Jerônimo Ferraz de, Spessoto,Luis Cesar Fava, Arruda,José Germano Ferraz de, Fácio Jr.,Fernando Nestor
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Revista brasileira de ginecologia e obstetrícia (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032020001100769
• topic: hemorrhagic shock; embolization; postoperative complications; suburethral sling; urinary incontinence

Abstract The placement of a suburethral sling is standard treatment for stress urinary incontinence. The transobturator technique (TOT) emerged as an alternative to minimize the risks of the blind insertion of needles, leading to a lower rate of perforation complications compared with the retropubic approach. We present a case of injury to a branch of the left obturator artery following the placement of a urethral sling using TOT, followed by intense bleeding and hemodynamic instability, which was treated with embolization.