Tamponade of presacral hemorrhage with hemostatic sponges fixed to the sacrum with endoscopic helical tackers: report of two cases.
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.
Department of Surgery, Twenteborg Hospital, Almelo, The Netherlands.
Tom J
TJ
van der Vurst
Maarten E
ME
Bodegom
Srdjan
S
Rakic
D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D002277:Carcinoma / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D012004:Rectal Neoplasms / Q000601:surgery*; D012447:Sacrum / Q000098:blood supply* / Q000473:pathology*; D015503:Surgical Sponges
D001672:Biocompatible Materials