Department of Urology, The Catholic University of Korea School of Medicine, Seoul, Korea.
Int Neurourol J. 2010 Dec;14(4):275-7. doi: 10.5213/inj.2010.14.4.275. Epub 2010 Dec 31.
Various postoperative complications have been reported after the use of tension-free vaginal tapes (TVT). The transobturator approach was introduced to minimize the potential complications. The next generation of recently introduced TVT-SECUR is intended to minimize the incidence of complications. Herein we report a case of internal pudendal artery injury sustained during this procedure that was successfully treated by radiological embolization. Angiography with vessel embolization, when available, should be considered when the arterial injury is suspected.
经阴道无张力吊带(TVT)术后有多种并发症报道。经闭孔入路是为了将潜在并发症最小化而引入的。最近推出的第二代 TVT-SECUR 旨在将并发症的发生率降至最低。本文报告了一例在该手术过程中发生的阴部内动脉损伤,通过放射介入栓塞成功治疗。当怀疑发生动脉损伤时,如果可行,应考虑进行血管造影和血管栓塞。