scholarly journals Salvage therapy in acute life-threatening vaginal bleeding of cervical cancer: Hypogastric artery embolization

2016 ◽  
Vol 55 (4) ◽  
pp. 607-608 ◽  
Author(s):  
Sema Süzen Çaypınar ◽  
Hakan Güraslan ◽  
Baki Şentürk ◽  
Hüseyin Cengiz ◽  
Levent Yaşar
Keyword(s):  
Cervical Cancer ◽  
Salvage Therapy ◽  
Vaginal Bleeding ◽  
Hypogastric Artery ◽  
Artery Embolization ◽  
Life Threatening

Intraoperative Hypogastric Artery Embolization for Life-Threatening Pelvic Hemorrhage

1987 ◽  
Vol 27 (10) ◽  
pp. 1127-1129 ◽  
Author(s):  
ANDREW J. SAUERACKER ◽  
BRIAN L. MCCROSKEY ◽  
ERNEST E. MOORE ◽  
FREDERICK A. MOORE
Keyword(s):  
Hypogastric Artery ◽  
Artery Embolization ◽  
Pelvic Hemorrhage ◽  
Life Threatening

scholarly journals Total Infralevatorian Exenteration with Vulvectomy as Salvage Therapy in a Recurrent Irradiated Cervical Cancer with Pelvic Sidewall Involvement

2017 ◽  
Vol 2 (1) ◽  
pp. 80-82
Author(s):  
János Bécsi ◽  
Béla Szabó ◽  
Szilárd Leó Kiss ◽  
Mihai Emil Căpîlna
Keyword(s):  
Cervical Cancer ◽  
Renal Failure ◽  
Chronic Renal Failure ◽  
Treatment Option ◽  
Salvage Therapy ◽  
Vaginal Bleeding ◽  
Pelvic Exenteration ◽  
Postoperative Recovery ◽  
Effective Screening ◽  
Pelvic Tumour

AbstractDespite the available effective screening techniques, cervical cancer is the most common genital malignancy in Romania. In patients with isolated pelvic recurrence after radiotherapy, exenteration represents the only chance for curative treatment. We present the case of a 45-year-old patient with a massive pelvic tumour causing intensive, poorly controlled vaginal bleeding, bilateral hydronephrosis and chronic renal failure. She underwent total infralevatorian exenteration with vulvectomy. Postoperative recovery was uneventful, and she presented a good evolution in the two months following surgery. We consider pelvic exenteration as the last treatment option to cure irradiated pelvic tumour recurrences.

Successful Control of Massive Vaginal Bleeding with Resuscitative Endovascular Balloon Occlusion of the Aorta and Pelvic Packing

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Emre Özlüer ◽  
Çagaç Yetis ◽  
Evrim Sayin ◽  
Mücahit Avcil
Keyword(s):  
Vaginal Bleeding ◽  
Balloon Occlusion ◽  
Emergency Physicians ◽  
Pelvic Packing ◽  
Gynecological Malignancies ◽  
Life Threatening ◽  
Successful Control ◽  
Endovascular Balloon Occlusion

Gynecological malignancies may present as life-threatening vaginal bleeding. Pelvic packing and Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) may be useful along with conventional vaginal packing when in terms of control of the hemorrhage. Emergency physicians should be able to perform these interventions promptly in order to save their patients from exsanguination.

Surgical resection of locally recurrent cervical cancer: a single institutional 70 patient series

2004 ◽  
Vol 14 (5) ◽  
pp. 846-851 ◽  
Author(s):  
V. Moutardier ◽  
G. Houvenaeghel ◽  
M. Martino ◽  
B. Lelong ◽  
V. J. Bardou ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Local Control ◽  
Cancer Recurrence ◽  
Palliative Surgery ◽  
Morbidity Rate ◽  
Actuarial Survival ◽  
Recurrent Cervical Cancer ◽  
Actuarial Survival Rate ◽  
Life Threatening ◽  
Threatening Situation

Pelvic recurrence of cervical cancer is a life-threatening situation and only local control can provide hope for remission. The aim of this study was to evaluate the role of surgery in the treatment of cervical cancer recurrence. This retrospective study analyzed a series of 70 patients who underwent resection of cervix locoregional recurrence. Thirteen patients had palliative salvage surgery for pelvic complications. Twenty-nine resections were considered as curative. Fifty recurrences required pelvic exenterations. The hospital mortality rate was 9% and the morbidity rate was 44%. Overall 5-year actuarial survival rate was 23%. Survival was significantly higher: (a) after curative resection and (b) after centropelvic recurrence resection. Local control was obtained in 48% of the cases and 13 patients are alive with a median follow-up of 75 months. In conclusion, the results of this small and heterogen series seem to justify an attempt to resection for centropelvic recurrences whenever possible. Palliative surgery should be reserved to salvage therapy and highly selected patients.

Efficacy of local salvage therapy for recurrent uterine cervical cancer after definitive radiotherapy

2021 ◽  
Author(s):  
Shinya Hiraoka ◽  
Aya Nakajima ◽  
Noriko Kishi ◽  
Keiichi Takehana ◽  
Hideki Hanazawa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Salvage Therapy ◽  
Uterine Cervical Cancer ◽  
Definitive Radiotherapy

Uterine Artery Embolization for Control of Life-Threatening Hemorrhage at Menarche: Brief Report

2007 ◽  
Vol 18 (1) ◽  
pp. 127-131 ◽  
Author(s):  
Charles W. Bowkley ◽  
Gregory J. Dubel ◽  
Richard A. Haas ◽  
Gregory M. Soares ◽  
Sun H. Ahn
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Life Threatening

Control of Tubercular Haemoptysis by Bronchial Artery Embolization

1997 ◽  
Vol 27 (3) ◽  
pp. 149-150 ◽  
Author(s):  
Sanjeev Mani ◽  
Rajesh Mayekar ◽  
Ravi Rananavare ◽  
Deepti Maniar ◽  
J Mathews Joseph ◽  
...  
Keyword(s):  
Bronchial Artery ◽  
Bronchial Artery Embolization ◽  
Artery Embolization ◽  
Selective Embolization ◽  
Bronchial Arteries ◽  
Bleeding Vessel ◽  
Life Threatening ◽  
Abnormal Bleeding ◽  
Recurrent Haemoptysis

Thirty-seven patients presenting with massive or recurrent haemoptysis secondary to tuberculous aetiology were subjected to bronchial artery angiography. Of these, failure to catheterize the bleeding vessel occurred in two patients while embolization was withheld in two patients due to the presence of anterior spinal artery arising from a common intercosto-bronchial trunk. Immediate arrest of bleeding was performed in the remaining 33 patients by selective embolization of the abnormal bronchial arteries with a resorbable material (Gelfoam). Regular follow up for a duration of 6 months after the procedure revealed relapse of haemoptysis in four patients; three were treated by re-embolization of the abnormal bleeding vessels while one patient died due to aspiration immediately on admission. No recurrence of bleeding was seen in the remaining 29 patients. It is concluded that bronchial artery embolization is an effective treatment for immediate control of life-threatening haemoptysis.

Effect of Internal Iliac Artery Embolization Combined With Arterial Infusion Chemotherapy On Serum VEGF, HGF and IL-6 in Advanced Cervical Cancer

2021 ◽  
Vol 7 (4) ◽  
pp. 538-545
Author(s):  
Xiaoru Li ◽  
Yan Zhao ◽  
Tao Yu
Keyword(s):  
Cervical Cancer ◽  
Internal Iliac Artery ◽  
Observation Group ◽  
Advanced Cervical Cancer ◽  
Artery Embolization ◽  
Arterial Infusion ◽  
Arterial Infusion Chemotherapy ◽  
Infusion Chemotherapy ◽  
Internal Iliac ◽  
Internal Iliac Artery Embolization

This study aimed to investigate the effect of internal iliac artery embolization combined with arterial infusion chemotherapy on serum VEGF, HGF and IL-6 in advanced cervical cancer. A total of 120 cases of patients with advanced cervical cancer and admitted to Binzhou Center Hospital from January 2014 to March 2016 were selected as research subjects. Among them, 59 patients received arterial infusion chemotherapy were enrolled in the control group, and 61 patients received arterial infusion chemotherapy combined with internal iliac artery embolization were included in the observation group. Treatment efficacy, serum VEGF, HGF and IL-6 expression, KPS score and QOL score, incidence of adverse reactions and 3-year survival rate of the two groups were recorded and compared. The result showed that the therapeutic effect of the observation group was significantly higher than that of the control group (P<0.05). The expression of serum VEGF, HGF and IL-6, KPS score and QOL score in the two groups were significantly improved after treatment, with more significant improvement in the observation group (P<0.05). There were no significant differences in the incidence of adverse reactions between the two groups (P>0.05). And the 3-year survival rate of the observation group was significantly higher than that of the control group (P<0.05). In conclusion, arterial infusion chemotherapy combined with internal iliac artery embolization has a better effect than arterial infusion chemotherapy alone in treating patients with advanced cervical cancer. It can effectively prolong the survival of patients, along with good safety, which is worthy of clinical promotion

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