Background Massive presacral venous plexus hemorrhage during radical resection of rectal carcinoma is rare, but when it occurs, bleeding can be uncontrollable, leading to death in some cases. Medical adhesive gauze st...Background Massive presacral venous plexus hemorrhage during radical resection of rectal carcinoma is rare, but when it occurs, bleeding can be uncontrollable, leading to death in some cases. Medical adhesive gauze sticking and packing and thumbtack compressive fixation are often used for hemostasis, but these methods are not effective in cases of uncontrollable massive hemorrhage. Therefore, identifying a practical, accurate, and reliable method of hemostasis in these cases is essential.Methods Between January 2004 and December 2009, we treated 3 patients with massive presacral venous plexus hemorrhage during resection of rectal carcinoma by placing small, trimmed thin steel plates at the bleeding sites. The plates were fixed with a saddle-type application of thumbtacks.Results Bleeding was successfully controlled in all 3 patients, and intestinal anastomosis was carried out after hemostasis. No complications were observed.Conclusions Application of a small, thin steel plate to the bleeding site with thumbtack fixation is a simple and effective method of hemostasis in patients with massive presacral venous plexus hemorrhage during resection of rectal carcinoma.展开更多
Massive presacral venous hemorrhage is dangerous and difficult to manage. Traditional methods for controlling this condition include packing with laparotomy pads, the use of sterile thumbtacks,1 ligation of the intern...Massive presacral venous hemorrhage is dangerous and difficult to manage. Traditional methods for controlling this condition include packing with laparotomy pads, the use of sterile thumbtacks,1 ligation of the internal iliac vessel,2 and selective arterial embolization.3 These methods are generally ineffective. Recently, several other methods for controlling presacral bleeding have been reported, such as occlusion of the wound with rectus muscle fragment welding,4 oppression with sterile normal saline bags,5 balloon tamponade,6 and the use of endoscopic staples.7 However, these measures fail to arrest the bleeding in some patients, resulting in massive hemorrhage and even death.展开更多
文摘Background Massive presacral venous plexus hemorrhage during radical resection of rectal carcinoma is rare, but when it occurs, bleeding can be uncontrollable, leading to death in some cases. Medical adhesive gauze sticking and packing and thumbtack compressive fixation are often used for hemostasis, but these methods are not effective in cases of uncontrollable massive hemorrhage. Therefore, identifying a practical, accurate, and reliable method of hemostasis in these cases is essential.Methods Between January 2004 and December 2009, we treated 3 patients with massive presacral venous plexus hemorrhage during resection of rectal carcinoma by placing small, trimmed thin steel plates at the bleeding sites. The plates were fixed with a saddle-type application of thumbtacks.Results Bleeding was successfully controlled in all 3 patients, and intestinal anastomosis was carried out after hemostasis. No complications were observed.Conclusions Application of a small, thin steel plate to the bleeding site with thumbtack fixation is a simple and effective method of hemostasis in patients with massive presacral venous plexus hemorrhage during resection of rectal carcinoma.
文摘Massive presacral venous hemorrhage is dangerous and difficult to manage. Traditional methods for controlling this condition include packing with laparotomy pads, the use of sterile thumbtacks,1 ligation of the internal iliac vessel,2 and selective arterial embolization.3 These methods are generally ineffective. Recently, several other methods for controlling presacral bleeding have been reported, such as occlusion of the wound with rectus muscle fragment welding,4 oppression with sterile normal saline bags,5 balloon tamponade,6 and the use of endoscopic staples.7 However, these measures fail to arrest the bleeding in some patients, resulting in massive hemorrhage and even death.
