Severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse – case study

Česká verzia

Authors: P. Chaloupka; M. Smažinka ; M. Havíř
Authors place of work: Gynekologicko-porodnická klinika LF UK a FN, Plzeň, přednosta doc. MUDr. Z. Novotný, CSc.
Published in the journal: Ceska Gynekol 2014; 79(1): 34-36

Summary

Objective:
To describe a case of a severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse.

Design:
Case study.

Settings:
Department of Obstetrics and Gynecology, Medical Faculty in Pilsen, Charles University in Prague.

Case:
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.

Conclusion:
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.

Keywords:
vaginal prolapse – Prolift procedure – bleeding – ligation of hypogastric artery

Zdroje

1. Caquant, F., Collinet, P., Debodinance, P., et al. Safety of Trans Vaginal Mesh procedure: retrospective study of 684 patients. J Obstet Gynecol Res, 2008, 34, 4, p. 449–456.

2. Clark, SL., Phelan, JP., Yeh, SY., el al. Hypogastric artery ligation for obstetric hemorrhage. Obstet Gynecol, 1985. 66, 3, p. 353–356.

3. Collins, CD., Jackson, JE. Pelvic arterial embolization following hysterectomy and bilateral internal iliac artery ligation for intractable primary post partum haemorrhage. Clin Radiol, 1995, 50, 10, p. 710–713.

4. Čihák, R. Anatomie 3. Praha: Grada Publishing, 1997, s. 111–119.

5. Debodinance, P., Cosson, M., Collinet, P., et al. Synthetic meshes for transvaginal surgical cure of genital prolapse: evaluation in 2005. J Gynecol Obstet Biol Reprod (Paris), 2006, 35, 5, p. 429–454.

6. Evans, S., McShane, P. The efficacy of internal iliac artery ligation in obstetric hemorrhage. Surg Gynecol Obstet, 1985, 160, 3, p. 250–253.

7. FDA. Safety Communication UPDATE on Serious Complications Associated with Transvaginal Placement of Surgical Mesh for Pelvic Organt Prolapse. Date Issued: July 13, 2011.

8. Harris, WJ. Early complications of abdominal and vaginal hysterectomy. Obstet Gynecol Surv, 1995, 50, 11, p. 795.

9. Hiltunen, R., Nieminen, K., Takala, T., et al. Low-weight polypropylene mesh for anterior vaginal wall prolapse: a randomized controlled trial. Obstet Gynecol, 2007, 110, p. 455–462.

10. Kelly, H. Ligation of both internal iliac arteries for hemorrhage in hysterectomy for carcinoma uteri. Bull John Hopkins Hosp, 1894, 5, p. 53.

11. Santoso, JT., Saunders, BA., Grosshart, K. Massive blood loss and transfusion in obstetrics and gynecology. Obstet Gynecol Surv, 2005, 60, 12, p. 827.