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Bi’s purse-string suture: an effective method for presacral venous bleeding

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Abstract

Presacral venous bleeding (PSVB) is an intractable situation during rectal mobilization. Till now, various methods for PSVB are introduced, but each of them has limitations. This article aims to introduce an effective approach for PSVB, which is created by Professor Xiaogang Bi. In the case of PSVB, a purse-string suture which highlighted each stitch penetrates periosteum of sacrum was performed around the bleeding site. After that, the branches of presacral venous plexus around the bleeding site were compressed to the sacrum when the stitches were tightened, the blood flow of the venous branches was blocked by the thread across them, the bleeding was controlled, and then, the knot was tied. From April 24th 2017 to November 6th 2022, ten patients who suffered PSVB during surgery accepted Bi’s suture. With Bi’s suture, all of the ten cases of PSVB were controlled effectively. Nine of ten cases were controlled immediately only by Bi’s suture, one case which accompanied with blood oozing of sacrum wound was controlled by Bi’s suture, bone wax, and pelvic gauze packing. Bi’s suture is an effective approach for PSVB. It could be easily performed without the need of special materials.

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Author notes

  1. Shaofei Chang and Yaohua Liu have contributed equally to this work.

Authors and Affiliations

  1. Department of Gastroenteropancreas, Shanxi Provincial People’s Hospital, Shuangta Street, Yingze District, Taiyuan, 030012, China

    Shaofei Chang, Jien Guo & Xiaogang Bi

  2. Department of Pancreatic Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Tianjin’s Clinical Research Center For Cancer, Huanhuxi Road, Hexi District, Tianjin, 300060, China

    Shaofei Chang

  3. Department of Ultrasound, The Second People’s Hospital of Shanxi Province, Kouzhuangxi Road, Yingze District, Taiyuan, 030012, China

    Yaohua Liu

  4. Shanxi Medical University, Daxue Street, Yuci District, Jinzhong, 030600, China

    Yaohua Liu

Authors
  1. Shaofei Chang
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  2. Yaohua Liu
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  3. Jien Guo
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  4. Xiaogang Bi
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Corresponding author

Correspondence to Xiaogang Bi.

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Conflict of interest

This study has no financial support. This article conducted in accordance with the ethical guidelines of the Declaration of Helsinki. The authors claim that none of the materials in the paper have been published or are under consideration for publication elsewhere. We state no conflict of interests and funding sources exist in the preparation and submission of this manuscript. The original data of the article could be obtained from the corresponding author if necessary.

Research involving human participants and/or animals, and Informed consent

This study was approved by the Ethical Review Committees of Shanxi Provincial People's Hospital. Written informed consent was obtained from all patients before surgery that included a statement regarding the collection of clinicopathological data and samples for scientific purposes.

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Chang, S., Liu, Y., Guo, J. et al. Bi’s purse-string suture: an effective method for presacral venous bleeding. Updates Surg 75, 2043–2046 (2023). https://doi.org/10.1007/s13304-023-01586-5

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  • DOI: https://doi.org/10.1007/s13304-023-01586-5

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