Brief Article
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jul 7, 2013; 19(25): 4039-4044
Published online Jul 7, 2013. doi: 10.3748/wjg.v19.i25.4039
Massive presacral bleeding during rectal surgery: From anatomy to clinical practice
Zheng Lou, Wei Zhang, Rong-Gui Meng, Chuan-Gang Fu
Zheng Lou, Wei Zhang, Rong-Gui Meng, Chuan-Gang Fu, Department of Colorectal Surgery, Changhai Hospital, Shanghai 200433, China
Author contributions: Lou Z, Zhang W, Meng RG and Fu CG performed the majority of patient treatment; Lou Z and Zhang W collected the clinical data and provided financial support for this work; Lou Z and Zhang W designed the study and wrote the manuscript.
Supported by Changhai Hospital 1255 Project Fund, No. CH125542500; and Shanghai Natural Science Foundation, No. 134119a3800
Correspondence to: Dr. Wei Zhang, Department of Colorectal Surgery, Changhai Hospital, 168 Changhai Road, Shanghai 200433, China. weizhang2000cn@163.com
Telephone: +86-21-31161608 Fax: +86-21-31161608
Received: March 16, 2013
Revised: April 17, 2013
Accepted: May 7, 2013
Published online: July 7, 2013
Core Tip

Core tip: Massive presacral bleeding is an uncommon but potentially life-threatening complication of rectal surgery. It is difficult to control the bleeding and several alternative techniques for hemostasis have been proposed. We described the use of two simple and effective techniques for controlling two different types of massive presacral bleeding, classified according to the anatomy of the presacral venous system.