Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Kölle, D; Tamussino, K; Hanzal, E; Tammaa, A; Preyer, O; Bader, A; Enzelsberger, H; Ralph, G; Riss, P; Austrian Urogynecology Working Group.
Bleeding complications with the tension-free vaginal tape operation.
Am J Obstet Gynecol. 2005; 193(6):2045-2049
Doi: 10.1016/j.ajog.2005.06.061
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- Co-authors Med Uni Graz
- Bader Arnim
- Tammaa Ayman
- Tamussino Karl
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- Abstract:
- This study was undertaken to analyze bleeding problems with tension-free vaginal tape (TVT) operations in a national registry. We studied patients for whom increased intraoperative bleeding or reoperation for bleeding/hematoma with TVT operation were reported to the registry. Bleeding problems were reported for 151 of 5578 (2.7%) TVT operations. Increased intraoperative bleeding was reported for 106 (1.9%) and reoperation (or conversion) in 45 (0.8%) patients (both in 5 patients). Increased intraoperative bleeding was managed conservatively in 103 patients (95%). Overall, 45 (0.8%) patients required reintervention for bleeding or hematoma. The reinterventions comprised 34 laparotomies, 4 transvaginal evacuations of hematomas, 3 revisions for bleeding from a suprapubic catheter site, and 2 revisions of the vaginal incision (details unclear in 1 patient). Bleeding was considered arterial in 12% (including 1 external iliac artery injury and 1 obturator artery injury) and venous or unknown in 88%. Of reoperated patients, 39% were reoperated within 24 hours, 20% within 2 to 10 days, and 41% within 11 to 56 days after TVT placement. Overall, 19 patients received blood transfusions (range, 1-10 units). There were no deaths from bleeding complications. Bleeding complications were reported with less than 3% of 5578 TVT operations. Most cases of increased intraoperative bleeding were managed conservatively; 0.8% of patients required conversion or reoperation.
- Find related publications in this database (using NLM MeSH Indexing)
- - epidemiology
- Blood Loss, Surgical - statistics & numerical data
- Female -
- Hematoma - epidemiology
- Humans -
- Intraoperative Complications - epidemiology
- Prostheses and Implants -
- Registries -
- Reoperation - statistics & numerical data
- Urinary Incontinence, Stress - surgery
- Urologic Surgical Procedures - adverse effects
- Find related publications in this database (Keywords)
- stress incontinence
- surgical treatment
- tension-free vaginal tape