Document Detail

Muscle tamponade to control presacral venous bleeding: report of two cases.
MedLine Citation:
PMID:  12195199     Owner:  NLM     Status:  MEDLINE    
Massive presacral hemorrhage following rectal mobilization for benign or malignant conditions is an uncommon complication but one that is alarming and often difficult to treat. A variety of methods of hemostasis have been described, all with mixed degrees of success. We have used a segment of free rectus abdominis muscle to provide tamponade to the presacral bleeding point in two patients with severe bleeding. The technique was successful and may be considered in cases of problematic hemorrhage when other techniques have failed or inapplicable.
Feza H Remzi; Mustafa Oncel; Victor W Fazio
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  45     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-08-26     Completed Date:  2002-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1109-11     Citation Subset:  IM    
Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
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MeSH Terms
Colitis, Ulcerative / surgery*
Middle Aged
Muscle, Skeletal / transplantation*
Postoperative Hemorrhage / prevention & control*
Rectal Neoplasms / surgery*
Surgical Flaps*
Comment In:
Dis Colon Rectum. 2003 May;46(5):688-9; author reply 689   [PMID:  12792450 ]

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

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