Management of presacral bleeding.

Abstract:

INTRODUCTION AND HYPOTHESIS:The objective of this video is to demonstrate a variety of available techniques that can be used in the management of acute presacral bleeding. METHODS:In this video, we demonstrate different methods for the management of presacral bleeding utilizing a fresh frozen cadaver. RESULTS:Presacral bleeding is a potentially catastrophic complication that can be encountered during pelvic surgery, particularly sacrocolpopexy. Various techniques exist to achieve hemostasis in the event of uncontrolled bleeding. This video demonstrates some of the available methods that may be employed in the management of presacral bleeding. The methods demonstrated in this video include direct pressure, pelvic packing, gelatin matrix, bone wax, thumb tack, surgical clip, suture, oxidized regenerated cellulose, omental flap, electrocautery, muscle fragment welding, gelatin matrix combined with thrombin, and microporous polysaccharide spheres. CONCLUSION:Familiarity with these techniques and product availability will aid in the management of acute presacral bleeding.

journal_name

Int Urogynecol J

authors

Hokenstad ED,Occhino JA

doi

10.1007/s00192-019-03995-w

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

215-217

issue

1

eissn

0937-3462

issn

1433-3023

pii

10.1007/s00192-019-03995-w

journal_volume

31

pub_type

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