Control of presacral venous bleeding with helical tacks on PTFE pledgets combined with pelvic packing.
Persistent and torrential bleeding from presacral veins is an uncommon complication during rectal resection. Control of bleeding is often difficult. We report an effective technique for controlling sacral bleeding using endoscopic helical tackers applied over pledgets of expanded polytetrafluoroethylene.
Department of General Surgery Unit IV, Christian Medical College, Vellore 632 004, India. pj1982@cmcvellore.ac.in
P
P
Joseph
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B
Perakath
D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002277:Carcinoma / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D012447:Sacrum / Q000098:blood supply* / Q000473:pathology; D053831:Surgical Fixation Devices; D015503:Surgical Sponges