Use of absorbable hemostatic gauze with medical adhesive is effective for achieving hemostasis in presacral hemorrhage - 24/03/12
, Fanghai Han, M.D., Ph.D., Liang Wang, M.S., Ph.D., Jian-Bo Xu, M.S., Ph.D., Chuang-Qi Chen, M.D., Ph.D., Shi-Rong Cai, M.D., Ph.D., Wen-Hua Zhan, M.D.
Corresponding author. Tel.: +86-20-87331059; fax: +86-20-87331059Abstract |
Background |
Management of presacral hemorrhage is always challenging. Herein we describe the use of an absorbable hemostatic gauze with ⍺-cyanoacrylate medical adhesive to achieve hemostasis.
Methods |
In this study, we conducted total mesorectal excision for the treatment of rectal cancer in 258 patients from March 2006 to May 2009. Intraoperative presacral hemorrhage developed in 5 (2%) patients during rectal mobilization.
Results |
In these 5 patients, massive bleeding could not be controlled by pressure and pelvic packing with gauze. An absorbable hemostatic gauze spread with medical adhesive was compressed onto the bleeding vessel for at least 20 minutes. Hemostasis was achieved successfully and was maintained during the surgery. Patients recovered uneventfully and no postoperative events were noted.
Conclusions |
The use of an absorbable hemostatic gauze with medical adhesive is a simple and effective method for achieving hemostasis when massive presacral hemorrhage occurs. However, its effectiveness needs to be confirmed in a controlled study in a properly selected patient population.
Le texte complet de cet article est disponible en PDF.Keywords : Presacral hemorrhage, Hemostatic gauze, Medical adhesive
Plan
| Chang-Hua Zhang and Xin-Ming Song contributed equally to this work. |
Vol 203 - N° 4
P. e5-e8 - avril 2012 Retour au numéro
Article précédent
- How can we know if Karydakis flap is a good solution for sacroccygeal pilonidal disease with laterally extended orifices?
- Zafer Ergul, Hakan Kulacoglu
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?