Early Post UAE Management
Uterine artery embolization for fibroids provides a treatment with low morbidity, and short in-hospital stay. An understanding of the expected post procedure course, and of the potential problems that can occur is essential to manage patients in this peri
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Contents
Abstract
1
Introduction..........................................................................
93
2 2.1 2.2 2.3 2.4 2.5
In Hospital Care .................................................................. Length of Stay ....................................................................... Care of the Puncture Site...................................................... Pain Control........................................................................... In Hospital Complications..................................................... Post Embolisation Syndrome ................................................
93 94 94 94 95 95
3 3.1 3.2 3.3
Discharge .............................................................................. Medication ............................................................................. Return to Activity.................................................................. Written Instructions ...............................................................
95 95 95 96
4 4.1 4.2 4.3 4.4
After Discharge .................................................................... Follow-Up .............................................................................. Post Discharge Complications .............................................. Bleeding ................................................................................. Contraception.........................................................................
96 96 96 97 97
References......................................................................................
97
Uterine artery embolization for fibroids provides a treatment with low morbidity, and short in-hospital stay. An understanding of the expected post procedure course, and of the potential problems that can occur is essential to manage patients in this period effectively, to reduce patient anxiety, and unnecessary re-admissions. In contrast to surgery (hysterectomy) most complications occur after discharge. Effective communication of the expected outcomes and potential serious complications is therefore required to both patients, and other clinicians.
1
In this chapter, we will discuss the care of the patient after uterine artery embolisation (UAE) from the time the patients leaves the radiology suite, up to and including the first follow-up appointment, usually between 4 and 8 weeks post procedure.
2
E. A. O’Grady (&) Department of Radiology, Aintree University Hospital NHS Foundation Trust, Lower Lane, Liverpool, UK e-mail: [email protected] G. Shaw Department of Gynaecology, Liverpool Womens’ Hospital NHS Foundation Trust, Crown Street, Liverpool, UK
Introduction
In Hospital Care
The management of patients after UAE can be undertaken by either the gynaecologist, the interventional radiologist, or most effectively, by a combination of both specialists working together. Whoever undertakes care of the patient must however be fully aware of the expected normal post procedure course, of possible complications, and be able to impart clea
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