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Updated: May 23, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Hemorrhagic complication during placement of tension-free vaginal tape
R Keith Huffaker1, Tyler Handcock, Tristi W Muir
1From the *Quillen Center for Pelvic Surgery and Urogynecology, Department of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN; †Department of Obstetrics and Gynecology, Scott and White Memorial Hospital and Clinic, Temple; and ‡Section of Female Pelvic Medicine and Reconstructive Surgery, Departmentof Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX.
Abstract:
A 66-year-old para III with a 20-year history of stress urinary incontinence underwent placement of tension-free vaginal tape. Intraoperative arterial bleeding occurred. An expanding hematoma was palpated postoperatively. Interventional radiology performed a pelvic arteriogram with selective bilateral internal iliac arteriograms, a supraselective anterior division and obturator arteriogram, a left external iliac arteriogram, coil embolization of a branch of the left obturator artery, and gel foam embolization of the anterior division of the left internal iliac artery.
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