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Related Experiment Video

Updated: Jan 23, 2026

Tail Vein Transection Bleeding Model in Fully Anesthetized Hemophilia A Mice
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Management of presacral bleeding.

Erik D Hokenstad1, John A Occhino2

  • 1Division of Urogynecology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA. Hokenstad.erik@mayo.edu.

International Urogynecology Journal
|June 13, 2019
PubMed
Summary

This video demonstrates techniques for managing acute presacral bleeding, a serious complication during pelvic surgery. Familiarity with these methods can improve patient outcomes.

Keywords:
Pelvic surgeryPresacral bleedingSimulation

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Area of Science:

  • Surgical techniques
  • Pelvic surgery
  • Hemorrhage control

Background:

  • Presacral bleeding is a severe complication during pelvic surgeries like sacrocolpopexy.
  • Effective hemostasis is crucial to manage uncontrolled bleeding in this region.

Purpose of the Study:

  • To demonstrate various techniques for managing acute presacral bleeding.
  • To provide a visual guide for surgeons encountering this complication.

Main Methods:

  • Demonstration of multiple hemostatic techniques on a fresh frozen cadaver.
  • Visual representation of methods including direct pressure, pelvic packing, and advanced adjuncts.

Main Results:

  • A comprehensive array of presacral bleeding management techniques were showcased.
  • Methods ranged from basic pressure and packing to specialized agents like gelatin matrix, bone wax, and surgical clips.

Conclusions:

  • Knowledge of diverse techniques and available products is essential for effective management of acute presacral bleeding.
  • Enhanced surgeon familiarity can lead to better control of this surgical complication.