Author:
Ancuța Eugen,Zamfir Radu,Martinescu Gabriel,Crauciuc Eduard,Sofroni Dumitru,Sofroni Larisa,Guțu Lilian,Ancuța Codrina,Valentin Crauciuc Dragoș
Abstract
Bleeding after gynecological surgery remains an infrequent life-threatening complication, demanding appropriate medical and surgical management. Classified as early/“reactionary” and delayed/secondary, unexpected postoperative hemorrhage may arise regardless of the route or subtype of hysterectomy. Timely recognition and prompt intervention to arrest bleeding are essential strategies for the suitable outcome of the patient. The present chapter presents an overview on different aspects of bleeding after hysterectomy such as incidence rate, risk factors, mechanisms, and management techniques aiming to expand knowledge and skills in recognizing and treating this unpredicted potentially serious problem. Furthermore, we intend to offer a guide toward standardizing treatment practice across bleeding issues following hysterectomy considering clear recommendations and algorithms.
Reference20 articles.
1. Dawood AS, Elbohoty SB, Abbas AM, Elgergawy AE. Colpotomizer-assisted total abdominal hysterectomy (CATAH Technique): A new technique for uterine removal in benign pathologies. Gynecology and Minimally Invasive Therapy. 2021;10(2):109-113
2. Jones HW III, Hysterectomy A. In: Rock J, Jones H III, editors. TeLinde’s Operative Gynecology. 10th ed. Philadelphia: Lippincott Williams & Wilkins, Wolters Kluwer Health; 2008. pp. 727-744
3. Kovac RS. Vaginal Hysterectomy. In: Rock J, Jones H III, editors. TeLinde’s operative Gynecology. 10th ed. Philadelphia: Lippincott Williams & Wilkins, Wolters Kluwer Health; 2008. pp. 744-763
4. Howarsd F. Laparoscopic Hysterectomy. In: Rock J, Jones H III, editors. TeLinde’s Operative Gynecology. 10th ed. Philadelphia: Lippincott Williams & Wilkins, Wolters Kluwer Health; 2008. pp. 763-776
5. Paul PG, Prathap T, Kaur H, et al. Secondary hemorrhage after total laparoscopic hysterectomy. JSLS. 2014;18(3):e2014.00139. DOI: 10.4293/JSLS.2014.00139