Complications of Female Incontinence and Pelvic Reconstructive Surgery by Howard B. Goldman

Author:Howard B. Goldman
Language: eng
Format: epub, pdf
Publisher: Springer International Publishing, Cham

If the bleeding source is retropubic, the prior Pfannenstiel incision and rectus fascia are opened and the hematoma is evaluated. After irrigation, bleeding sites are identified and addressed. The peritoneum can be opened if necessary to examine the iliac vessels. Another alternative is to consider angiography and embolization when the patient is hemodynamically stable, and it is unclear whether there is active bleeding. Elard and colleagues reported a case where they were able to control bleeding from an inferior vesical artery with selective embolization [17].

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