Pelvic packing: a rescue treatment for severe presacral hemorrhage
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : V. Celentano, G. Luglio, R. Tarquini, L. Bucci
- چاپ و سال / کشور: 2011
Description
Background: Management of presacral hemorrhage has always been a challenge for surgeons because such bleeding can rapidly destabilize the patient. Traditional methods like electric cauterization and suture ligation often fail and can aggravate bleeding. Methods: We report the case of a severe presacral hemorrhage that occurred during an ultra low rectal resection for cancer in a male patient. Results: After failing of electric cauterization and suture ligation the hemorrhage was successfully treated with pelvic packing. Conclusions: Coagulation and suturing should be avoided because they can aggravate bleeding resulting in significant blood loss. Pelvic packing is the treatment of choice in our experience.
Eur Surg (2011) DOI 10.1007/s10353-011-0013-3 Received March 1, 2011; accepted after revision May 31, 2011; published online August 3, 2011
