Balloon tamponade for control of massive presacral haemorrhage

McCourtney, J. S.; Hussain, Nabil; Mackenzie, Ian C.

doi:10.1046/j.1365-2168.1996.02111.x

Cited by 11 publications

(6 citation statements)

References 1 publication

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“…6 We believe that all these more or less "punctate" methods may have their place at a very early stage when a localized problem still can be controlled by occlusion of one or two bleeders. A number of creative solutions have been described in attempt to provide a good tamponade of the bleeding sacrum and eliminate the need for second operation: use of a tissue expanders, 7 breast implant sizer, 8 Sengstaken-Blakemore tube, 9 bowel isolation beg, 10 hemostatic sponge glued with cyanoacrylate, 11 suture of a free rectus muscle flap, 12 welding of the muscle fragment over the bleeding area. 13 Our previous experience with thumbtacks and a potential to deliver the endoscopic helical tackers precisely even in a deep and narrow pelvis with minimal obstruction of visibility stimulated us to consider initially this instrument as a replacement for thumbtacks in cases of severe presacral venous bleeding.…”

Section: Discussionmentioning

confidence: 99%

Tamponade of Presacral Hemorrhage With Hemostatic Sponges Fixed to the Sacrum With Endoscopic Helical Tackers: Report of Two Cases

Vurst¹,

Bodegom²,

Rakic

2004

Diseases of the Colon &Amp; Rectum

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Presacral venous hemorrhage is a severe complication in low rectal surgery. This complication was encountered in 5 of 165 patients (3 percent) who underwent a presacral dissection for rectal mobilization. Conventional hemostatic measures often are ineffective to arrest this hemorrhage, and a number of alternative hemostatic techniques have been proposed. We report the successful tamponade of presacral hemorrhage with absorbable hemostatic sponges fixed to the sacrum with endoscopic helical tackers.

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Section: Discussionmentioning

confidence: 99%

Tamponade of Presacral Hemorrhage With Hemostatic Sponges Fixed to the Sacrum With Endoscopic Helical Tackers: Report of Two Cases

Vurst¹,

Bodegom²,

Rakic

2004

Diseases of the Colon &Amp; Rectum

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“…Should all these measures fail, tight pelvic packing or balloon tamponade may be necessary as a last resort. 15 For both sidewall and sacral bleeding, rapid com- pletion of the planned resection will aid exposure. The decision to proceed with anastamosis following massive hemorrhage must be made carefully, considering the patient's overall condition as well as local factors.…”

Section: Pelvic Hemorrhagementioning

confidence: 99%

Management of Perioperative Hemorrhage

Perry¹

2001

Clinics in Colon and Rectal Surgery

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Uncontrollable bleeding is one of the most fearsome complications any surgeon may face. The most familiar procedure can rapidly deteriorate in a struggle for survival. However, careful preparation and a logical, reasoned approach to potential problems go a long way to alleviating this fear. PREOPERATIVE PREPARATIONA thorough history and physical examination will yield important information about the likelihood of perioperative bleeding problems. Prior hemorrhages after minor procedures such a tooth extraction, easy bruising, or particularly heavy menses may indicate an underlying disorder of coagulation. A family history of hemorrhagic or thrombotic complications should also be elicited.In general, routine laboratory screening of all patients in the absence of a history suggestive of bleeding problems adds unnecessary expense to the preoperative evaluation. In one study, prothrombin and partial thromboplastin times (PT/PTT) were normal in over 98% of patients without an antecedent bleeding history. Likewise, unsuspected thrombocytopenia is rare. For patients with a suspicious history, the standardized bleeding time is the single best test of the coagulation system; ABSTRACT Perioperative hemorrhage is a serious and potentially life-threatening complication. Adequate preoperative evaluation and management is crucial to avoiding problems. Good surgical technique with special attention to the spleen, pelvis, and anastomosis helps to minimize the risk of hemorrhage. Laparoscopic surgery adds additional limitations. Postoperative care helps to minimize the stress associated with intraoperative hemorrhage.

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“…Hemostasis is a major procedure during any kind of surgery. Although ligation with either absorbable or nonabsorbable sutures has been regarded as the standard for hemostasis, alternative methods such as electrocoagulation, laser evaporation, and harmonic scalpel also are used to stop bleeding [1][2][3]. However, when there is massive bleeding, especially in the presacral area, packing and occluder pin (Hayden Medical Inc., Santa Clarita, CA, USA) might be necessary to stop such types of bleeding [4,5].…”

Section: Introductionmentioning

confidence: 99%

Foley balloons’ tamponade is an effective method for controlling massive pelvic bleeding during colorectal surgery

Hsu

2022

Ann Coloproctol

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Purpose: Hemostasis can be achieved by various methods, but it can be difficult to stop active bleeding in the pelvis. An effective method is described to stop massive active bleeding in the pelvis during colorectal surgery. Methods: When there were massive bleedings in the pelvis, 3 to 5 Foley catheters were inserted through stab wounds on the abdomen. The tips of catheters were placed in the pelvis. Each balloon was inflated with 40 mL of sterile water. The water inside each balloon was removed gradually from the third postoperative day. If there is no further bleeding, all catheters were removed on the 7th postoperative day. Results: There were 8 patients (4 males and 4 females) with massive pelvic bleeding encountered from January 1998 to December 2018. Four patients underwent low anterior resection for primary rectal cancer, 2 patients for colon cancer with pelvic recurrence, 1 patient for ovary cancer with pelvic recurrence, and 1 patient for presacral parachordoma with a bleeding tendency. All of the patients survived without further bleeding after surgery. Conclusion: The technique is a simple method to control massive pelvic bleeding during colorectal surgery. It is also inexpensive and effective even in patients with a bleeding tendency.

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Balloon tamponade for control of massive presacral haemorrhage

Abstract: Massive pelvic bleeding during mobilization of the distal rectum is a recognized complication1, and can be difficult to control. A technique for dealing with this complication, involving pelvic venous tamponade with a perineal Sengstaken‐Blakemore tube is described.

Cited by 11 publications

References 1 publication

Tamponade of Presacral Hemorrhage With Hemostatic Sponges Fixed to the Sacrum With Endoscopic Helical Tackers: Report of Two Cases

Tamponade of Presacral Hemorrhage With Hemostatic Sponges Fixed to the Sacrum With Endoscopic Helical Tackers: Report of Two Cases

Management of Perioperative Hemorrhage

Foley balloons’ tamponade is an effective method for controlling massive pelvic bleeding during colorectal surgery

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