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  • Title: The use of table fixation staples to control massive presacral hemorrhage: a successful alternative treatment. Report of a case.
    Author: Wang LT, Feng CC, Wu CC, Hsiao CW, Weng PW, Jao SW.
    Journal: Dis Colon Rectum; 2009 Jan; 52(1):159-61. PubMed ID: 19273972.
    Abstract:
    Management of presacral hemorrhage has always been a challenge for surgeons because such bleeding can rapidly destabilize a patient during pelvic surgery. Conventional hemostatic measures are often effective for arresting this type of hemorrhage, however, sometimes conventional measures make the problem worse. A number of alternative hemostatic techniques have been proposed. This case report describes a successful tamponade of presacral hemorrhage with a titanium table fixation staple and a cancellous bone graft fixed to the sacrum. The bleeding was stopped immediately and the patient recovered uneventfully. We think this is an effective alternative method for controlling massive hemorrhage from a large hole in presacral fascia.
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