Interventional radiologic treatment of pelvic hemorrhage after placement of mesh for reconstructive pelvic surgery.

Abstract

We report two cases of vascular complications after reconstructive pelvic surgery successfully treated with pelvic artery embolization. Two patients who underwent mesh placement complicated by postoperative pelvic hemorrhage were treated successfully with selective arterial embolization. The widespread adoption of reconstructive pelvic surgery procedures with dissection in deep vascular spaces has brought with it the prospect of challenging vascular morbidity. A thorough understanding of pelvic anatomy is essential for management of vascular complications from reconstructive pelvic surgery.