Management of presacral hemorrhage has always been a challenge for surgeons because such bleeding can rapidly destabilize a patient during pelvic surgery. Conventional hemostatic measures are often effective for arresting this type of hemorrhage, however, sometimes conventional measures make the problem worse. A number of alternative hemostatic techniques have been proposed. This case report describes a successful tamponade of presacral hemorrhage with a titanium table fixation staple and a cancellous bone graft fixed to the sacrum. The bleeding was stopped immediately and the patient recovered uneventfully. We think this is an effective alternative method for controlling massive hemorrhage from a large hole in presacral fascia.
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Wang, L. T., Feng, C. C., Wu, C. C., Hsiao, C. W., Weng, P. W., & Jao, S. W. (2009). The use of table fixation staples to control massive presacral hemorrhage: A successful alternative treatment. report of a case. Diseases of the Colon and Rectum, 52(1), 159-161. https://doi.org/10.1007/DCR.0b013e3181972242