Skip to main content

Advertisement

SpringerLink
Log in

Control of presacral venous bleeding with helical tacks on PTFE pledgets combined with pelvic packing

  • Trick of the Trade
  • Published:
Techniques in Coloproctology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Wang QY, Shi WJ, Zhao YR, Zhou WQ, He ZR (1985) New concepts in severe presacral hemorrhage during proctectomy. Arch Surg 120:1013–1020

    CAS  PubMed  Google Scholar 

  2. Flynn MK, Romero AA, Amundsen CL, Weidner AC (2005) Vascular anatomy of the presacral space: a fresh tissue cadaver dissection. Am J Obstet Gynecol 192:1501–1505

    Article  PubMed  Google Scholar 

  3. Ayuste E Jr, Roxas MF (2004) Validating the use of rectus muscle fragment welding to control presacral bleeding during rectal mobilization. Asian J Surg 27:18–21

    Article  PubMed  Google Scholar 

  4. Lucarotti ME, Armstrong CP, Bartolo DC (1991) Control of presacral bleeding in rectal surgery. Ann R Coll Surg Engl 73:289–290

    CAS  PubMed  Google Scholar 

  5. Arnaud JP, Tuech JJ, Pessaux P (2000) Management of presacral venous bleeding with the use of thumbtacks. Dig Surg 17:651–652

    Article  CAS  PubMed  Google Scholar 

  6. Chen Y, Chen F, Xie P, Qiu P, Zhou J, Deng Y (2009) Combined oxidised cellulose and cyanoacrylate glue in the management of severe presacral bleeding. Surg Today 39:1016–1017

    Article  CAS  PubMed  Google Scholar 

  7. Civelek A, Yeğen C, Aktan AO (2002) The use of bone wax to control massive presacral bleeding. Surg Today 32:944–945

    Article  PubMed  Google Scholar 

  8. van der Vurst TJ, Bodegom ME, Rakic S (2004) Tamponade of presacral hemorrhage with hemostatic sponges fixed to the sacrum with endoscopic helical tackers: report of two cases. Dis Colon Rectum 47:1550–1553

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery Unit IV, Christian Medical College, Vellore, 632 004, India

    P. Joseph

  2. Department of Surgery Unit V, Christian Medical College, Vellore, 632 004, India

    B. Perakath

Authors
  1. P. Joseph
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Perakath
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to B. Perakath.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Joseph, P., Perakath, B. Control of presacral venous bleeding with helical tacks on PTFE pledgets combined with pelvic packing. Tech Coloproctol 15, 79–80 (2011). https://doi.org/10.1007/s10151-010-0650-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10151-010-0650-8

Keywords

Search

Navigation