Difficult-to-control bleeding.

Abstract:

:A 12-year-old girl presented for excision of a nevus sebaceous of the scalp. The surgery was complicated by unexpected difficult-to-control bleeding in the operating room. Numerous attempts to obtain hemostasis were unsuccessful including the use of local anesthetic containing epinephrine, direct pressure, wall suction, monopolar electrocautery using different tip sizes, sponge sticks, and Gelfoam. Finally bleeding was contained using a suction-electocautery unit frequently used by otolaryngology. This article reviews the usual causes of unexpected bleeding in the pediatric population and both familiar and unfamiliar methods to control operative bleeding.

journal_name

Pediatr Dermatol

journal_title

Pediatric dermatology

authors

Bellet JS,Wagner AM

doi

10.1111/j.1525-1470.2009.00985.x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

559-62

issue

5

eissn

0736-8046

issn

1525-1470

pii

PDE985

journal_volume

26

pub_type

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