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Chirurgie 1. April 2012

Pelvic packing: a rescue treatment for severe presacral hemorrhage

BACKGROUND: Management of presacral hemorrhage has always been a challenge for surgeons because such bleeding can rapidly destabilize the patient. Traditional methods like electric cauterization and suture ligation often fail and can aggravate bleeding. METHODS: We report the case of a severe presacral hemorrhage that occurred during an ultra low rectal resection for cancer in a male patient. RESULTS: After failing of electric cauterization and suture ligation the hemorrhage was successfully treated with pelvic packing. CONCLUSIONS: Coagulation and suturing should be avoided because they can aggravate bleeding resulting in significant blood loss. Pelvic packing is the treatment of choice in our experience.

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