title: The use of thumbtacks to stop severe presacral bleeding.
abstract: Massive presacral bleeding arising during gynaecological surgery can be sudden, rapid and life-threatening. Further, its control and management can be challenging, since standard measures are frequently ineffective. The use of thumbtacks to control severe presacral venous haemorrhage was first reported in 1985. Despite this, it does not appear to be widely known or used in gynaecological surgery. A case is presented in which the technique was used, and the literature on its use is reviewed.
authors.affiliation: Department of Gynaecology and Obstetrics, Faculty of Medicine, University of Harran, Sanliurfa, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Harma
authors.forename: M
authors.initials: M
authors.lastname: Harma
authors.forename: A
authors.initials: A
authors.lastname: Ozturk
authors.forename: M
authors.initials: M
authors.lastname: Bozer
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000295:instrumentation*; D008197:Lymph Node Excision / Q000009:adverse effects / Q000295:instrumentation*; D010388:Pelvis; D012447:Sacrum; D002583:Uterine Cervical Neoplasms / Q000601:surgery