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CC BY 4.0 · Rev Bras Ginecol Obstet 2020; 42(11): 769-771
DOI: 10.1055/s-0040-1718435
Case Report

Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure

Embolização após sling transobturatório em paciente com choque hipovolêmico
Germano José Ferraz de Arruda 
1   Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Miguel Bonfitto 
1   Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Jerônimo Ferraz de Arruda Neto 
2   Hospital São Domingos, Catanduva, SP, Brazil
,
Luis Cesar Fava Spessoto 
1   Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
José Germano Ferraz de Arruda 
1   Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
,
Fernando Nestor Fácio  Jr.
1   Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brazil
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Abstract

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.

Resumo

Sling de uretra média é o tratamento padrão para a incontinência urinária de esforço. A abordagem transobturatória (TOT) surgiu como alternativa para minimizar os riscos da inserção às cegas das agulhas com taxa de complicações perfurativas menores quando comparadas à abordagem retropúbica. Apresentamos um caso de lesão em ramo da artéria obturatória esquerda após sling TOT que evoluiu com sangramento intenso e instabilidade hemodinâmica, sendo tratado com embolização.

Keywords

hemorrhagic shock - embolization - postoperative complications - suburethral sling - urinary incontinence

Palavras-chave

choque hemorrágico - embolização - complicações pós-operatórias - sling - incontinência urinária


Publication History

Received: 18 May 2020

Accepted: 03 August 2020

Article published online:
30 November 2020

© 2020. 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/)

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