Document Detail

Internal packing in the control of hemorrhage from large retroperitoneal veins.
MedLine Citation:
PMID:  15720992     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hemorrhage from large retroperitoneal veins is usually controlled by suturing the venous tear. Infrequently, the extent and location of the tear and amount of hemorrhage preclude successful suturing. METHODS: In seven patients with severe hemorrhage from large retroperitoneal veins encountered in association with resection of retroperitoneal sarcoma (6) or repair of a ruptured abdominal aortic aneurysm (1), packing of the area with sufficient amounts of Surgicel (Ethicon, Johnson & Johnson, Somerville, NJ) and pressure for one half hour was used. RESULTS: All seven patients did not show any bleeding postoperatively and no clinical sequelae developed, with the exception of one patient who developed an abscess requiring drainage. CONCLUSION: Internal packing with Surgicel appears to be reliable in controlling venous hemorrhage not manageable by the standard methods and may be preferable to roll gauze packing.
Maciej L Dryjski; Roman A Litwinski; Constantine P Karakousis
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  189     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-21     Completed Date:  2005-03-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  208-10     Citation Subset:  AIM; IM    
Department of Surgery, Kaleida Health, Millard Fillmore Hospital, 3 Gates Circle, Buffalo, NY 14209, USA.
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MeSH Terms
Aneurysm, Ruptured / surgery
Aortic Rupture / surgery
Digestive System Surgical Procedures / methods*
Hemorrhage / etiology,  prevention & control*
Retroperitoneal Neoplasms / blood supply,  surgery
Retroperitoneal Space / blood supply*,  surgery*
Sarcoma / surgery
Suture Techniques

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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