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Transcatheter Arterial Embolization for Severe Secondary Hemorrhage after Hysterectomy

Authors
 Yong Jae Lee  ;  Man Deuk Kim  ;  Jung-Yun Lee  ;  Sang Wun Kim  ;  Sung Hoon Kim  ;  Young Tae Kim  ;  Eun Ji Nam 
Citation
 Journal of Minimally Invasive Gynecology, Vol.25(1) : 180-185, 2018 
Journal Title
 Journal of Minimally Invasive Gynecology 
ISSN
 1553-4650 
Issue Date
2018
Keywords
Hysterectomy complications ; Postoperative hemorrhage ; Secondary bleeding ; Total laparoscopic hysterectomy
Abstract
Four of 1237 patients who underwent abdominal, laparoscopic, and vaginal hysterectomy between October 2013 and May 2015 had severe secondary hemorrhage after hysterectomy (2 conventional multiport total laparoscopic hysterectomies, 1 single-port access hysterectomy, and 1 total abdominal hysterectomy). The median time interval between hysterectomy and secondary hemorrhage was 28.4 days (range, 16-52 days). All 4 cases were treated with transcatheter arterial embolization (TAE), all of whom required blood transfusions to maintain vital functions before TAE. The mean operative time was 90 minutes. The median length of hospital stay after TAE was 12 days (range, 4-24 days), and the patients were discharged without complications or additional surgery. These cases show the value of minimally invasive TAE for patients experiencing severe secondary hemorrhage after hysterectomy.
Full Text
https://www.sciencedirect.com/science/article/pii/S1553465017303928
DOI
10.1016/j.jmig.2017.06.028
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
김만득(Kim, Man Deuk) ORCID logo https://orcid.org/0000-0002-3575-5847
김상운(Kim, Sang Wun) ORCID logo https://orcid.org/0000-0002-8342-8701
김성훈(Kim, Sung Hoon) ORCID logo https://orcid.org/0000-0002-1645-7473
김영태(Kim, Young Tae) ORCID logo https://orcid.org/0000-0002-7347-1052
남은지(Nam, Eun Ji)
이용재(Lee, Yong Jae) ORCID logo https://orcid.org/0000-0003-0297-3116
이정윤(Lee, Jung-Yun) ORCID logo https://orcid.org/0000-0001-7948-1350
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161913
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