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

Czech version

Authors: P. Chaloupka; Martin Smažinka; Martin Havíř
Authors‘ workplace: Gynekologicko-porodnická klinika LF UK a FN, Plzeň, přednosta doc. MUDr. Z. Novotný, CSc.
Published in: Ceska Gynekol 2014; 79(1): 34-36

Overview

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

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