ABSTRACT

Acute hemorrhage following pelvic reconstructive surgery is a complication requiring immediate evaluation and treatment. Many articles describe the perioperative morbidity associated with sacrospinous ligament fixation repair of pelvic organ prolapse; few studies on management of the perioperatve acute hemorrhage can be found. We report two cases of acute bleeding during prosthetic sacrospinous ligament fixation of uterus and vaginal vault, resolved with two different medical approaches. The current clinical problem of life-threatening hemorrhage during sacrospinous uterus and vaginal vault suspension is examined, and a management solution is defined.