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Control of presacral venous bleeding, using thumbtacks.
Sunesh Kumar1, Neena Malhotra, Sunil Chumber
1Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, 9/22 AIIMS, New Delhi, India.
Archives of Gynecology and Obstetrics
|March 10, 2007
Summary
Massive bleeding during gynecological surgery can be fatal. Thumbtacks offer a simple, cost-effective solution for controlling presacral venous plexus hemorrhage when other methods fail.
Area of Science:
- Gynecologic surgery
- Vascular hemostasis
Background:
- Massive bleeding from the presacral venous plexus is a rare but potentially fatal complication in gynecologic surgery.
- Conventional hemostatic methods may be ineffective in controlling severe presacral venous bleeding.
Observation:
- A 55-year-old woman undergoing radical hysterectomy for cervical cancer experienced life-threatening presacral hemorrhage.
- Standard surgical techniques failed to control the bleeding.
Findings:
- Thumbtacks were successfully employed to achieve hemostasis of the presacral vessels.
- This novel approach effectively controlled the massive hemorrhage.
Implications:
- Thumbtack application presents a simple, cost-effective, and life-saving method for managing intractable presacral venous bleeding.
- This technique could be a valuable addition to the armamentarium for managing severe gynecologic surgical bleeding.
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