title: Control of presacral venous bleeding, using thumbtacks.
abstract: BACKGROUND
  Massive life threatening bleeding from presacral venous plexus in gynecological surgery, though uncommon can be fatal when conventional methods fail.
  
  
  METHODS
  In the present case, a 55-year-old woman undergoing radical hysterectomy for cancer cervix was saved using thumbtacks to control bleeding from presacral vessels when conventional methods were ineffective.
  
  
  CONCLUSIONS
  Use of thumbtacks in such patients is simple, cost effective and life saving.
authors.affiliation: Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 9/22 AIIMS, New Delhi, India.
authors.forename: Sunesh
authors.initials: S
authors.lastname: Kumar
authors.forename: Neena
authors.initials: N
authors.lastname: Malhotra
authors.forename: Sunil
authors.initials: S
authors.lastname: Chumber
authors.forename: Prerna
authors.initials: P
authors.lastname: Gupta
authors.forename: Janaki
authors.initials: J
authors.lastname: Aruna
authors.forename: K K
authors.initials: KK
authors.lastname: Roy
authors.forename: J B
authors.initials: JB
authors.lastname: Sharma
mesh_terms: D016063:Blood Loss, Surgical; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010388:Pelvis / Q000098:blood supply*; D014680:Veins