Barras J P, Fellmann T
Chirurgische Klinik, Kantonsspital Aarau.
Helv Chir Acta. 1992 Aug;59(2):335-9.
During the last 53 abdominoperineal amputations of the rectum for carcinoma, we had to control 5 massive hemorrhages. 4 of which were due to a lesion of the presacral venous plexus and caused a mean blood-loss of 4750 ml. During a "normal" Mile's operation our 49 other patients lost an average of 1750 ml (median 1200 ml) of blood. The negative effects of this type of complication and the following need for massive transfusion is not only local, circulatory and pulmonary, but also due to the immunodepressive effects of massive transfusion. We describe the different methods of control of these hemorrhages and insist on the advantage of using sterilised metallic thumbtacks, a method which was described 1984 by doctor Wang Qinyao of Shanghai.
在过去53例因癌行腹会阴直肠切除术的病例中，我们不得不处理5例大出血。其中4例是由于骶前静脉丛损伤，平均失血量为4750毫升。在“常规”的迈尔斯手术中，我们的其他49例患者平均失血1750毫升（中位数1200毫升）。这类并发症的负面影响以及随后大量输血的必要性不仅体现在局部、循环和肺部，还归因于大量输血的免疫抑制作用。我们描述了控制这些出血的不同方法，并强调使用消毒金属图钉的优势，这是上海的王钦尧医生在1984年描述的一种方法。
