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Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure

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...

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Detalles Bibliográficos
Autores principales: Arruda, Germano José Ferraz de, Bonfitto, Miguel, Arruda Neto, Jerônimo Ferraz de, Spessoto, Luis Cesar Fava, Arruda, José Germano Ferraz de, Fácio, Fernando Nestor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309248/
https://www.ncbi.nlm.nih.gov/pubmed/33254273
http://dx.doi.org/10.1055/s-0040-1718435
Descripción
Sumario: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.