General Surgery Resident (PGY4), Drexel University College of Medicine, Philadelphia, PA, 19102, USA,
Tech Coloproctol. 2014 Jan;18(1):73-6. doi: 10.1007/s10151-012-0915-5. Epub 2012 Oct 31.
Presacral bleeding is a dreaded complication of pelvic surgery. Rapid and effective control of such bleeding is important to avoid potentially life-threatening outcomes. Various methods for controlling presacral bleeding, all with only limited success, have been described in the literature. We report the alternative technique of using the argon beam coagulator (ABC) to control presacral bleeding. We demonstrate its efficacious use in both open surgery and a laparoscopic case. Our approach involved applying an argon beam at bone setting directly to the bleeders and using a "point and shoot" technique. We found that ABC is a simpler, equally effective and expeditious way of addressing presacral bleeding. To the best of our knowledge, there has been only one previously reported case in the literature of the use of ABC to control presacral bleeding.
骶前出血是盆腔手术的一种可怕并发症。快速有效地控制这种出血对于避免潜在的危及生命的后果非常重要。文献中描述了各种控制骶前出血的方法，但都只有有限的成功。我们报告了使用氩气束凝固器（ABC）控制骶前出血的替代技术。我们展示了它在开放手术和腹腔镜手术中的有效应用。我们的方法包括将氩气束直接应用于骨固定器上的出血点，并采用“点射”技术。我们发现 ABC 是一种更简单、同样有效和快捷的处理骶前出血的方法。据我们所知，文献中仅有一例先前报道使用 ABC 控制骶前出血的病例。
