Control of presacral venous bleeding, using thumbtacks

Kumar, Sunesh; Malhotra, Neena; Chumber, Sunil; Gupta, Prerna; Aruna, Janaki; Roy, Kallol Kumar; Sharma, Jai Bhagwan

doi:10.1007/s00404-007-0344-2

Cited by 19 publications

(10 citation statements)

References 5 publications

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“…Previous studies have consistently reported that gastrointestinal complications, such as small bowel obstruction, ileus, or defecation disorders occur in approximately 0.1 to 5% of sacrocolpopexy procedures. The mesh placed between the sacrum and vagina (cervix) always narrows the pelvis, and the cause of the defecation disorders may be reduced space in the pelvis (outlet obstruction), adhesions, or trauma of the hypogastric nerves ( 5 , 7 , 9 – 11 ). However, presacral hemorrhage is the most worrying intraoperative complication of sacrocolpopexy, and may have life-threatening consequences ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery

Kale¹,

Biler

Terzi³

et al. 2017

Int. braz j urol.

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Objective:To share our first experience with laparoscopic pectopexy, a new technique for apical prolapse surgery, and to evaluate the feasibility of this technique.Materials and Methods:Seven patients with apical prolapse underwent surgery with laparoscopic pectopexy. The lateral parts of the iliopectineal ligament were used for a bilateral mesh fixation of the descended structures. The medical records of the patients were reviewed, and the short-term clinical outcomes were analyzed.Results:The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period.Conclusion:Although laparoscopic sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical prolapse surgery.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery

Kale¹,

Biler

Terzi³

et al. 2017

Int. braz j urol.

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“…Since then, their implementation has been the subject of multiple communications, most of which reported good results[35-40]. However, pin placement can be technically difficult[22,37], especially in narrow pelvises[41], when the contour of the sacrum is not sufficiently smooth and regular or when osteoporotic disease is present in the bone[29,42].…”

Section: Resultsmentioning

confidence: 99%

Presacral venous bleeding during mobilization in rectal cancer

Núñez¹,

Vigorita²,

Poblador³

et al. 2017

WJG

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AIMTo analyze the anatomy of sacral venous plexus flow, the causes of injuries and the methods for controlling presacral hemorrhage during surgery for rectal cancer.METHODSA review of the databases MEDLINE® and Embase™ was conducted, and relevant scientific articles published between January 1960 and June 2016 were examined. The anatomy of the sacrum and its venous plexus, as well as the factors that influence bleeding, the causes of this complication, and its surgical management were defined.RESULTSThis is a review of 58 published articles on presacral venous plexus injury during the mobilization of the rectum and on techniques used to treat presacral venous bleeding. Due to the lack of cases published in the literature, there is no consensus on which is the best technique to use if there is presacral bleeding during mobilization in surgery for rectal cancer. This review may provide a tool to help surgeons make decisions regarding how to resolve this serious complication.CONCLUSIONA series of alternative treatments are described; however, a conventional systematic review in which optimal treatment is identified could not be performed because few cases were analyzed in most publications.

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“…This rule is applicable to presacral venous haemorrhage. Conventionally, there are several ways used to achieve haemostasis such as cautery, suture ligation, hot packs, ligation of internal iliac artery, and application of absorbable gelatin sponge or microfibrillar collagen (Ayuste E, 2004 andKumar et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

The Control of Haemostasis of Presacral Venous Haemorrhage with Sterile Thumbtacks and Roller Gauze—Experience in Managing a Case of Recurrent Ovarian Cancer

Wong¹,

Kai²,

Mohamed³

et al. 2013

IJCRM

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Decision of relaparotomy is usually become a surgical dilemma as one may encounter dense adhesion before reaching the target site. This may end up with unwanted complication such as iatrogenic injury to adjacent structures as well as bleeding. This is a case of a 46-year-old lady with underlying history of ovarian carcinoma who needed to go for relaparotomy and debulking of recurrent tumour. The attempt to release adhesions was complicated with bleeding at presacral venous plexus. Due to difficulty in achieving haemostasis, bilateral internal iliac artery ligation was done. This procedure did not completely solve the bleeding, so the subsequent step to apply thumbtacks and roller gauze packing were done to create tamponade. The gauzes were removed piece by piece starting from day 8 through small incisional wound without needing to go for another laparotomy.

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Control of presacral venous bleeding, using thumbtacks

Abstract: Use of thumbtacks in such patients is simple, cost effective and life saving.

Cited by 19 publications

References 5 publications

Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery

Laparoscopic pectopexy: initial experience of single center with a new technique for apical prolapse surgery

Presacral venous bleeding during mobilization in rectal cancer

The Control of Haemostasis of Presacral Venous Haemorrhage with Sterile Thumbtacks and Roller Gauze—Experience in Managing a Case of Recurrent Ovarian Cancer

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