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经TVT-Secur手术发生的伴有死亡冠损伤的严重出血并发症。

A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure.

作者信息

Larsson Per-Göran, Teleman Pia, Persson Jan

机构信息

Department of Obstetrics and Gynecology, Kärnsjukhuset, Skaraborgs Hospital, University of Skövde, 54128, Skövde, Sweden.

出版信息

Int Urogynecol J. 2010 Sep;21(9):1175-7. doi: 10.1007/s00192-010-1103-7. Epub 2010 Feb 24.

Abstract

We report a serious complication following a TVT-Secur procedure due to injury of the corona mortis requiring a surgical intervention for removal of 1 l of clotted blood from the space of Retzius. The corona mortis is an anomaly of the vessel combining the obturator and epigastric arteries passing over the superior pubic ramus, well known to hernia and orthopedic surgeons but probably less well known to gynecological surgeons.

摘要

我们报告了一例经阴道无张力尿道中段悬吊带术(TVT-Secur)后的严重并发症,该并发症是由于死亡冠损伤所致,需要进行手术干预以从耻骨后间隙清除1升凝血块。死亡冠是一种血管变异,它连接闭孔动脉和腹壁下动脉,越过耻骨上支,疝外科医生和骨科医生对此较为熟知,但妇科医生可能了解较少。

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