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World J Surg Oncol
February 2024
Department of General Surgery, The First Medical Center, Chinese PLA General Hospital, Fuxing Road 28, Haidian District, Beijing, 100853, China.
Background: Relevant reports on the surgical resection and prognosis of recurrent presacral tumors are limited. The objective of this study was to explore the outcomes associated with surgical resection of recurrent presacral tumors.
Methods: The data of patients with recurrent presacral tumors who received surgical resection in our hospital between June 2009 and November 2018 were retrospectively analyzed.
Ann Coloproctol
February 2022
Division of Colon and Rectal Surgery, Department of Surgery, Mackay Memorial Hospital, Mackay Medical College, Taipei, Taiwan.
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.
Introduction: Presacral venous bleeding is an uncommon but potentially life threatening complication of rectal surgery. During the posterior rectal dissection, it is recommended to proceed into the plane between the fascia propria of the rectum and the presacral fascia. Incorrect mobilisation of the rectum outside the Waldeyer's fascia can tear out the lower presacral venous plexus or the sacral basivertebral veins, causing what may prove to be uncontrollable bleeding.
View Article and Find Full Text PDFDis Colon Rectum
January 2009
Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Penghu Branch, National Defense Medical Center, Penghu, Taiwan.
Management of presacral hemorrhage has always been a challenge for surgeons because such bleeding can rapidly destabilize a patient during pelvic surgery. Conventional hemostatic measures are often effective for arresting this type of hemorrhage, however, sometimes conventional measures make the problem worse. A number of alternative hemostatic techniques have been proposed.
View Article and Find Full Text PDFDis Colon Rectum
June 2008
Department of Surgery, Chung Shan Medical University Hospital, Taichung, No. 110, Section 1, Chien-Kuo N. Road, Taichung, Taiwan.
The incidence of presacral bleeding during rectal mobilization is low, but the bleeding may be massive and even fatal, therefore, effective hemostasis is critical. We report our successful use of a saline bag tamponade in a patient with a life-threatening presacral hemorrhage after an abdominoperineal resection of an anal carcinoma.
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