Tamponade of presacral hemorrhage with hemostatic sponges fixed to the sacrum with endoscopic helical tackers: report of two cases.
case_report · Level V
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Abstract
Presacral venous hemorrhage is a severe complication in low rectal surgery. This complication was encountered in 5 of 165 patients (3 percent) who underwent a presacral dissection for rectal mobilization. Conventional hemostatic measures often are ineffective to arrest this hemorrhage, and a number of alternative hemostatic techniques have been proposed. We report the successful tamponade of presacral hemorrhage with absorbable hemostatic sponges fixed to the sacrum with endoscopic helical tackers.
Medical subject headings
- Carcinoma
- Gastrointestinal Hemorrhage
- Hemostatic Techniques
- Postoperative Complications
- Rectal Neoplasms
- Sacrum
- Surgical Sponges