title: The use of bonewax to control massive presacral bleeding.
abstract: Massive presacral bleeding during retroperitoneal resection is unusual, and can be difficult to control. We describe a technique for managing this complication whereby bonewax is pushed through the presacral fascia and periosteum directly into the bleeding point in the sacrum, followed by abdominal packing. This maneuver proved successful for achieving hemostasis when we recently encountered this intraoperative complication.
authors.affiliation: Department of Cardiovascular Surgery, Marmara University, Altunizade, Istanbul, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Civelek
authors.forename: Cumhur
authors.initials: C
authors.lastname: Yeğen
authors.forename: A Ozdemir
authors.initials: AO
authors.lastname: Aktan
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004338:Drug Combinations; D006490:Hemostatics / Q000008:administration & dosage* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010168:Palmitates / Q000008:administration & dosage* / Q000627:therapeutic use; D012186:Retroperitoneal Neoplasms / Q000601:surgery*; D014885:Waxes / Q000627:therapeutic use
chemical_list: D004338:Drug Combinations; D006490:Hemostatics; D010168:Palmitates; D014885:Waxes; C055480:bone wax