title: [Excessive bleeding in the patients with past history of Hassab's operation].
abstract: We report two cases of massive perioperative bleeding and multiple organ failure with past history of Hassab's operation. Massive bleeding occurred during laparotomy and thoracocentesis in each case. After Hassab's operation, collateral circulation and coagulation disorders could develop, and unanticipated massive bleeding might occur. Preparations for excessive bleeding and postoperative intensive care would be required for the patients who have past history of Hassab's operation.
authors.affiliation: Department of Anesthesiology, Saitama Medical Center Saitama Medical University, Kawagoe 350-8550.
authors.forename: Kenji
authors.initials: K
authors.lastname: Iwamuro
authors.forename: Hanako
authors.initials: H
authors.lastname: Nomoto
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Kitaoka
authors.forename: Hajime
authors.initials: H
authors.lastname: Iwasaki
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Fukuyama
authors.forename: Kaoru
authors.initials: K
authors.lastname: Koyama
authors.forename: Hideki
authors.initials: H
authors.lastname: Miyao
mesh_terms: D000368:Aged; D016063:Blood Loss, Surgical; D003422:Critical Care; D004932:Esophageal and Gastric Varices / Q000601:surgery*; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D019990:Perioperative Care; D013156:Splenectomy / Q000009:adverse effects*; D013997:Time Factors