[Severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse - case study].

OBJECTIVE: To describe a case of a severe postoperative bleeding after Total Prolift procedure for vaginal vault prolapse. DESIGN: Case study. SETTINGS: Department of Obstetrics and Gynecology, Medical Faculty in Pilsen, Charles University in Prague. CASE: A 55-year-old woman underwent a surgery with a Prolift procedure for vaginal prolapse after hysterectomy. The surgery was carried out without any complications. In the first 24 hours after Prolift surgery we diagnosed massive bleeding and hypovolemic shock. The condition required repeated re-exploration and ligation of hypogastric artery and pelvic packing to stop the bleeding. CONCLUSION: Bleeding is a major complication in gynecological surgery. Severe hemorrhage is a rare condition after surgical treatment of vaginal prolapse after hysterectomy using a Prolift procedure.