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Techniques in Coloproctology
Published in: Techniques in Coloproctology 6/2015

01-06-2015 | Trick of the Trade

Co-suturing SURGICEL® and colonic fat to achieve hemostasis in presacral hemorrhage

Authors: Z. Liu, H. Ju, Y. Zhu, D. Li, Y. Fan

Published in: Techniques in Coloproctology | Issue 6/2015

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Excerpt

The presacral venous plexus lies posterior to the rectal fascia and underneath the presacral fascia, presenting in a ladder-like fashion [1]. When performing total mesorectal excision (TME), iatrogenic injury may cause massive presacral hemorrhage. Although presacral bleeding is uncommon, it can be life-threatening [2]. …
Literature
1.
Bague P, Karimdjee B, Ianeelli A et al (2004) Anatomy of the presacral venous plexus: implications for rectal surgery. Surg Radiol Anat 26:355–358CrossRef
2.
Wydra D, Emerich J, Ciach K, Marciniak A (2005) Management of massive presacral pelvic bleeding in patients with gynecological malignances: review of the literature. Eur J Gynaecol Oncol 26:151–154PubMed
3.
Zama N, Fazio V, Jagelman D, Lavery IC, Weakley FL, Church JM (1988) Efficacy of pelvic packing in maintaining hemostasis after rectal excision for cancer. Dis Colon Rectum 31:923–928CrossRefPubMed
4.
D’Ambra L, Berti S, Bonfante P, Bianchi C, Gianquinto D, Falco E (2009) Hemostatic step-by-step procedure to control presacral bleeding during laparoscopic total mesorectal excision. World J Surg 33:812–815CrossRefPubMed
Metadata
Title
Co-suturing SURGICEL® and colonic fat to achieve hemostasis in presacral hemorrhage
Authors
Z. Liu
H. Ju
Y. Zhu
D. Li
Y. Fan
Publication date
01-06-2015
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 6/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-015-1312-7

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