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J Minim Invasive Gynecol. 2013 Jul-Aug;20(4):529-32. doi: 10.1016/j.jmig.2013.01.011. Epub 2013 Mar 23.

A life-threatening hematoma after the single-incision sling MiniArc procedure: a case report.

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Department of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Changhua Christian Hospital and General Education Center, Chienkuo Technology University, Changhua, Taiwan.


The newer generation of single-incision slings such as the MiniArc may minimize these risks by avoiding the passage of needles through the obturator foramen and muscles. However, they may still lead to severe vascular injuries. We report a case of a life-threatening obturator hematoma forming after a MiniArc procedure. We determined the exact location using a computed tomographic scan of the pelvis, and it was surgically managed. The patient's symptoms subsided, and her vital signs stabilized after the hematoma was removed using a transvaginal approach. Single-incision slings may be associated with life-threatening vascular complications.


Hematoma; MiniArc

[Indexed for MEDLINE]

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