title: The use of table fixation staples to control massive presacral hemorrhage: a successful alternative treatment. Report of a case.
abstract: Management of presacral hemorrhage has always been a challenge for surgeons because such bleeding can rapidly destabilize a patient during pelvic surgery. Conventional hemostatic measures are often effective for arresting this type of hemorrhage, however, sometimes conventional measures make the problem worse. A number of alternative hemostatic techniques have been proposed. This case report describes a successful tamponade of presacral hemorrhage with a titanium table fixation staple and a cancellous bone graft fixed to the sacrum. The bleeding was stopped immediately and the patient recovered uneventfully. We think this is an effective alternative method for controlling massive hemorrhage from a large hole in presacral fascia.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Penghu Branch, National Defense Medical Center, Penghu, Taiwan.
authors.forename: Liang-Tsai
authors.initials: LT
authors.lastname: Wang
authors.forename: Chun-Che
authors.initials: CC
authors.lastname: Feng
authors.forename: Chang-Chieh
authors.initials: CC
authors.lastname: Wu
authors.forename: Cheng-Wen
authors.initials: CW
authors.lastname: Hsiao
authors.forename: Pei-Wei
authors.initials: PW
authors.lastname: Weng
authors.forename: Shu-Wen
authors.initials: SW
authors.lastname: Jao
mesh_terms: D000368:Aged; D005205:Fascia / Q000098:blood supply*; D005260:Female; D006470:Hemorrhage / Q000601:surgery*; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D007431:Intraoperative Complications; D012004:Rectal Neoplasms / Q000601:surgery; D012007:Rectum / Q000601:surgery*; D012445:Sacrococcygeal Region; D013537:Sutures