Conservative treatment of pelvic hematoma after sacrospi-nous fixation
- Authors: Yarin G.Y1,2,3, Vilgelmi I.A.2,3, Fedorenko V.N4, Alekseeva A.V.2,3
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Affiliations:
- Ya.L. Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics
- Innovative Medical Technology Center “Clinic of NRITO”
- JSC Innovative Medical Technology Center (Medical Technopark)
- Issue: No 9 (2017)
- Pages: 144-147
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/248066
- DOI: https://doi.org/10.18565/aig.2017.9.144-7
- ID: 248066
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Abstract
Background. Pelvic organ prolapse is a common disease in women worldwide. Sacrospinous fixation is one of the most effective surgical treatments for genital prolapse. The frequency of postoperative hemorrhagic complications after this treatment is 0.2-2.2% and they mostly manifest themselves by retroperitoneal hematoma formation. The choice of a treatment for these complications depends on the size of hematoma, the clinical presentations of compression of the adjacent organs, the severity of hemorrhagic and pain syndromes, and the appearance of signs of hematoma infection. Description. The paper describes a clinical case of conservative treatment for retroperitoneal hematoma developed in a female patient on the second day after sacrospinous cervicopexy. Discussion. The lack of clear recommendations and evidence-based studies on this problem requires further investigations, elaboration of diagnostic algorithms and therapeutic protocols for postoperative retroperitoneal hematomas.
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About the authors
G. Y Yarin
Ya.L. Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics; Innovative Medical Technology Center “Clinic of NRITO”; JSC Innovative Medical Technology Center (Medical Technopark)
Email: yaringennadiy@icloud.com
Ph.D., leading researcher, Head of the Functional Group of Neurourology; Head of the surgical department; head of the functional center of urology and gynecology, Center for Urology and Gynecology
Inna Alexandrovna Vilgelmi
Innovative Medical Technology Center “Clinic of NRITO”; JSC Innovative Medical Technology Center (Medical Technopark)
Email: vilgelmi@ngs.ru
gynecologist; obstetrician-gynecologist, Center for Urology and Gynecology
V. N Fedorenko
Anastasia Vladimirovna Alekseeva
Innovative Medical Technology Center “Clinic of NRITO”; JSC Innovative Medical Technology Center (Medical Technopark)urologist; urologist, Center for Urology and Gynecology
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