Appling the abdominal aortic‐balloon occluding combine with blood pressure sensor of dorsal artery of foot to control bleeding during the pelvic and sacrum tumors surgery

Abstract

Intraoperative abdominal aorta occluding may effectively control intraoperative hemorrhage, thus assisting the surgeon in the complete and safe resection of pelvic and sacrum tumors.

Surgical management of sacrococcygeal region giant tumors by use of balloon occlusion abdominal aorta

“…Our study and some others (7,9,12,15,16,18) did not observe any vascular complications (except one patient in our study experienced occurred groin subcutaneous hematoma for incorrect compression of the puncture site). Typically, the longer the occlusion, the more complications.…”

“…Recently, several papers (7,9,12,15,16,18) claimed that occlusions of the lower abdominal aorta can effectively control intraoperative hemorrhage. Mi et al (9) reported that occluding the abdominal aorta with a balloon-dilation catheter effectively reduced intraoperative hemorrhage (blood loss volume was only 100-200 ml) and therefore assisted surgeons in the complete and safe resection of upper sacral tumors.…”

“…No consensus has been reached about a safe and conservative occlusion duration. Some studies (15,16,18) have suggested that a single continuous occlusion duration should be less than 60 minutes to prevent causing arterial wall injury, ischemic necrosis of distal limb, organ injury, or multiple organ dysfunctions. Occlusion should be intermittent to restore blood flow for at least 10-15 minutes when the operating duration lasts too long.…”

“…Several studies (7,9,12,15,16,18) have reported that occluding the abdominal aorta with a balloon catheter is an effective method to control intraoperative blood loss while also gaining better outcomes and fewer complications.…”

Surgical Treatment of Sacral Neurogenic Tumor: A 10‐year Experience with 64 Cases

“…If the lesion is located high in the sacrum and involving a large area, abdominal aorta block is the technique of choice because it can reliably control intraoperative hemorrhage. Balloon catheters are minimally invasive and effective for achieving a temporary abdominal aorta block; however, more clinical follow-up reports are required to confirm their safety and reliability [29][30][31][32] . In our patients, early application of internal iliac ligation and lower abdominal aorta block performed in the late part of the procedure enabled control of hemorrhage; some patients undergoing single posterior surgeries avoided the trauma of internal iliac artery ligation.…”