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[Three methods for controlling presacral massive bleeding during pelvic operations].

Xiaoxue Wang1, Zhimin Liu1, Shangkui Xie2

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|December 28, 2017
PubMed
Summary
This summary is machine-generated.

Controlling presacral massive bleeding during pelvic operations can be achieved with gauze packing, drawing pins, or absorbable gauze. Absorbable gauze with medical adhesive is effective, simple, and fast, offering a precise hemostasis method.

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Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Surgical Innovation

Background:

  • Presacral massive bleeding is a critical complication during pelvic operations.
  • Effective hemostasis techniques are vital for patient outcomes.

Purpose of the Study:

  • To evaluate and compare the efficacy of three hemostasis methods for presacral massive bleeding during pelvic operations: gauze packing, drawing pin, and absorbable gauze with medical adhesive.

Main Methods:

  • Retrospective analysis of clinical data from 11 patients experiencing presacral massive bleeding during pelvic surgery.
  • Comparison of hemostasis outcomes for gauze packing, drawing pin, and absorbable gauze techniques.

Main Results:

  • Gauze packing was associated with higher rates of surgical procedure changes and poorer outcomes.
  • Drawing pin achieved hemostasis in 60% of cases but had a possibility of failure.
  • Absorbable gauze with medical adhesive demonstrated effectiveness, simplicity, and speed, with successful hemostasis and good patient recovery.

Conclusions:

  • Absorbable gauze with medical adhesive is a precise, effective, and fast method for controlling presacral massive bleeding.
  • Drawing pin offers a more precise alternative to gauze packing but carries a risk of failure.
  • Gauze packing remains a basic but less optimal method compared to newer techniques.