Civelek Ali, Yeğen Cumhur, Aktan A Ozdemir
Department of Cardiovascular Surgery, Marmara University, Altunizade, Istanbul, Turkey.
Surg Today. 2002;32(10):944-5. doi: 10.1007/s005950200189.
Massive presacral bleeding during retroperitoneal resection is unusual, and can be difficult to control. We describe a technique for managing this complication whereby bonewax is pushed through the presacral fascia and periosteum directly into the bleeding point in the sacrum, followed by abdominal packing. This maneuver proved successful for achieving hemostasis when we recently encountered this intraoperative complication.
腹膜后切除术中出现大量骶前出血并不常见，且难以控制。我们描述了一种处理该并发症的技术，即通过骶前筋膜和骨膜将骨蜡直接推注到骶骨的出血点，随后进行腹部填塞。当我们最近遇到这种术中并发症时，该操作被证明在实现止血方面是成功的。
