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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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
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author Arruda, Germano José Ferraz de
Bonfitto, Miguel
Arruda Neto, Jerônimo Ferraz de
Spessoto, Luis Cesar Fava
Arruda, José Germano Ferraz de
Fácio, Fernando Nestor
author_facet Arruda, Germano José Ferraz de
Bonfitto, Miguel
Arruda Neto, Jerônimo Ferraz de
Spessoto, Luis Cesar Fava
Arruda, José Germano Ferraz de
Fácio, Fernando Nestor
author_sort Arruda, Germano José Ferraz de
collection PubMed
description 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.
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spelling pubmed-103092482023-07-27 Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure Arruda, Germano José Ferraz de Bonfitto, Miguel Arruda Neto, Jerônimo Ferraz de Spessoto, Luis Cesar Fava Arruda, José Germano Ferraz de Fácio, Fernando Nestor Rev Bras Ginecol Obstet 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. Thieme Revinter Publicações Ltda. 2020-11-30 2020-11 /pmc/articles/PMC10309248/ /pubmed/33254273 http://dx.doi.org/10.1055/s-0040-1718435 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Arruda, Germano José Ferraz de
Bonfitto, Miguel
Arruda Neto, Jerônimo Ferraz de
Spessoto, Luis Cesar Fava
Arruda, José Germano Ferraz de
Fácio, Fernando Nestor
Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
title Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
title_full Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
title_fullStr Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
title_full_unstemmed Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
title_short Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
title_sort embolization in patient with hypovolemic shock after transobturator sling procedure
url 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
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