Timmons M C, Kohler M F, Addison W A
Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina.
Obstet Gynecol. 1991 Aug;78(2):313-5.
There is well-known difficulty in controlling hemorrhage from presacral vessels. There are reports on the use of thumbtacks to secure hemostasis in the face of presacral hemorrhage. This communication reports the successful use of thumbtacks to establish presacral hemostasis and describes a simple instrument designed to afford easier and more precise anterior sacral application of thumbtacks. The instrument is easy to make. It was devised because of difficulty encountered with manual placement of hemostatic thumbtacks and the absence of totally satisfactory delivery by any of the standard surgical instruments available.
控制骶前血管出血存在众所周知的困难。有关于在骶前出血情况下使用图钉来确保止血的报道。本通讯报道了成功使用图钉实现骶前止血，并描述了一种设计用于更轻松、更精确地在骶骨前方应用图钉的简单器械。该器械易于制作。之所以设计它，是因为手动放置止血图钉存在困难，且现有的任何标准手术器械都无法完全令人满意地进行放置。
