TY - JOUR AU - Jivapaisarnpong, Paiboon PY - 2009/06/30 Y2 - 2024/03/29 TI - The Use of Ligating Clips (Liga Clips®) to Control Massive Presacral Venous Bleeding JF - The Thai Journal of Surgery JA - Thai J Surg VL - 30 IS - 1-2 SE - Case Reports DO - UR - https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227667 SP - AB - <div><strong>Background:</strong> Massive presacral venous bleeding is a serious complication that the hemostatic methods<br>commonly performed may be ineffective. The author presents the use of the ligating clips , another method,<br>in controlling massive presacral venous bleeding in failure cases from many hemostatic methods.</div><div><br><strong>Method:</strong> During the 5 year period of 2001-2005, there were 142 pelvic surgical cases. Most of them were<br>malignancy and the common procedure performed was low anterior resection. There were 3 cases of massive<br>presacral venous bleeding that could not be controlled by conventional hemostatic methods. These cases were<br>recurrence cancer of rectum, advanced rectal cancer with liver cirrhosis and huge retrorectal tumor.</div><div><br><strong>Result:</strong> There were 3 patients who failed from previous operation in attempt to control bleeding by<br>electric cautery, argon plasma coagulator, muscle welding technique and finally pelvic packing. All of them were<br>successfully controlled by ligating clip. There were no postoperative bleedings or infections, and no further<br>blood transfusion was needed.</div><div><br><strong>Conclusion:</strong> Ligating clips, a basic instrument available in all hospitals, is effective in controlling<br>massive presacral venous bleeding.</div> ER -