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Uterine Artery Embolization for Leiomyomas and Adenomyosis: A Pictorial Essay Based on Our Experience from 1300 Cases

Kim MD

Since its introduction in 1995, uterine artery embolization (UAE) has become an established option for the treatment of leiomyomas. Identification of a leiomyoma using arteriography improves the ability to perform...
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Uterine arteriovenous malformation with repeated vaginal bleeding after dilatation and curettage

Shim DJ, Choi SJ, Jung JM, Choi JH

Uterine arteriovenous vascular malformation (UAVM) is a disease that causes excessive bleeding. The symptoms do not subside without proper treatment and this can lead to life-threatening situations. The correct diagnosis...
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Uterine Artery Embolization in Patients with Postpartum Hemorrhage: Clinical Efficacy and Safety of Treatment with N-Butyl-2-Cyanoacrylate

Kwon Y, So YH, Kim BJ, Kim SM, Choi YH, Moon MH

PURPOSE: To evaluate the clinical efficacy and safety of uterine artery embolization (UAE) using N-butyl-2-cyanoacrylate (NBCA) in patients with postpartum hemorrhage (PPH). MATERIALS AND METHODS: From February 2010 to May 2018,...
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Spontaneous Uterine Rupture after Uterine Artery Embolization for the Treatment of Uterine Myomas

Kim SJ, Kim AM, Kim TY, Kim JW, Kim YH

As intervention techniques have been developed recently, minimal invasive treatment for uterine myoma using uterine artery embolization is receiving attention increasingly. Uterine rupture occurs rarely, but once it occurs, it...
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Patient Blood Management: Obstetrician, Gynecologist's Perspectives

Lee WM

Obstetricians and gynecologists frequently deal with hemorrhage so they should be familiar with management of patient blood management (PBM). We will review to summarize the alternative measures and interventions used...
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Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis

Song H, Seo JW, Shin W

A 34-year-old female patient underwent uterine artery embolization (UAE) to control massive postpartum hemorrhage. The interventional radiologist was not informed of the patient's significant history of uterine myoma. Although no...
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Risk factors for massive postpartum bleeding in pregnancies in which incomplete placenta previa are located on the posterior uterine wall

Lee HJ, Lee YJ, Ahn EH, Kim HC, Jung SH, Chang SW, Lee JY

OBJECTIVE: To identify factors associated with massive postpartum bleeding in pregnancies complicated by incomplete placenta previa located on the posterior uterine wall. METHODS: A retrospective case-control study was performed. We identified...
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Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture

Kyeong KS, Moon JY, Chae SH, Hong SH, Kang M, Jeong EH

A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed...
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Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding

Ko HK, Shin JH, Ko GY, Gwon DI, Kim JH, Han K, Lee SW

OBJECTIVE: To evaluate the safety and efficacy of prophylactic uterine artery embolization (UAE) before obstetrical procedures with high risk for massive bleeding. MATERIALS AND METHODS: A retrospective review of 29 female...
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The efficacy of pre-delivery prophylactic trans-catheter arterial balloon occlusion of bilateral internal iliac artery in patients with suspected placental adhesion

Cho YJ, Oh YT, Kim SY, Kim JY, Jung SY, Chon SJ, Kim JH, Byun SS

OBJECTIVE: Prophylactic trans-catheter arterial balloon occlusion (PTABO) before cesarean section of placenta previa totalis has been introduced to prevent massive hemorrhage. The purpose of this study is to evaluate the...
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Uterine Artery Embolization: The Interventional Treatment of Female Genital Diseases

Lee WH, Yang SB, Goo DE, Kim YJ, Lee JM, Kang CH, Ohm JY, Kim YJ

The uterus is the major female sex organ and is essential for pregnancy. The organ is located in the pelvic cavity. It is usually fist-sized with its volume changing from...
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Efficacy of Bakri Balloon Tamponade in Massive Postpartum Hemorrhage: A Series of 57 Cases

Kwon HY, Kim YH, Park YW, Kwon JY

PURPOSE: To evaluate the efficacy of intrauterine Bakri balloon tamponade as a management of massive postpartum hemorrhage (PPH). METHODS: Retrospective study including women who underwent intrauterine Bakri balloon tamponade for massive...
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Uterine rupture in pregnancies following myomectomy: A multicenter case series

Kim HS, Oh SY, Choi SJ, Park HS, Cho GJ, Chung JH, Seo YS, Jung SY, Kim JE, Chae SH, Hwang HS

OBJECTIVE: The purpose of this case series was to retrospectively examine records of cases with uterine rupture in pregnancies following myomectomy and to describe the clinical features and pregnancy outcomes. METHODS:...
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Aberrant Ovarian Artery Originating from the Iliolumbar Artery: A Case Report

Lee JE, Lee JM

Here, we report a case of a 30-year-old woman who presented with primary postpartum hemorrhage due to uterine atony. She received uterine artery embolization (UAE). During left internal iliac arteriography,...
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Ileo-uterine fistula in a degenerated posterior wall fibroid after Caesarean section

Shehata A, Hussein N, El Halwagy A, El Gergawy A, Khairallah M

Uterine fibroids are benign tumors of the myometrium with a diverse range of manifestations. Fibroids can dramatically increase in size during pregnancy due to the increase in estrogen levels. After...
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Treatment of uterine leiomyoma: how to choose a therapeutic method?

Kim YM

Uterine leiomyomas (myomas or fibroids) are the most common benign pelvic tumors in reproductive aged women occurring in 25% to 40%. They may cause symptoms of heavy or prolonged menstrual...
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Laparoscopic uterine artery occlusion before cervical curettage in cervical ectopic pregnancy: Safe and effective for preventing massive bleeding

Choi HS, Kim NY, Ji YI

Cervical ectopic pregnancy is associated with high risk for massive bleeding conditions. Cervical ectopic pregnancy can usually be treated by methotrexate injection or surgery. We present 4 cases of cervical...
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Role of surgical therapy in the management of gestational trophoblastic neoplasia

Eoh KJ, Chung YS, Yim GW, Nam EJ, Kim S, Kim SW, Kim YT

OBJECTIVE: To evaluate the role of adjuvant surgical procedures in the management of gestational trophoblastic neoplasia (GTN). METHODS: In a retrospective review of medical records at the Severance Hospital, we identified...
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Pseudoaneurysm of uterine artery causing intra-abdominal and vaginal bleeding after cervical conization

Moon G, Jeon S, Nam KH, Choi S, Sunwoo J, Ryu A

Uterine arterial pseudoaneurysm is a very rare condition usually associated with postpartum hemorrhage. It almost never occurs after cervical conization; however, since ruptured pseudoaneurysm could be life threatening, we should...
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Spontaneous Restoration of Unrecognized Uterine Inversion

Cha HH, Seong WJ

We report a case of unrecognized uterine inversion was restored spontaneously without surgical intervention. Initially, the case was diagnosed as uterine atony and not uterine inversion and was managed successfully...
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