The Use of Hemorrhage Occluder Pins for Controlling Paravertebral Intercostal Artery Bleeding

Kluger, Yoram; Sagie, Boaz; Soffer, Dror; Nasrallha, Nabia; Aladgem, David

doi:10.1097/00005373-199710000-00020

Cited by 5 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, an obstacle of occluder pins is that it might be cumbersome while manipulating the instrument in applying pins in some patients. On top of that, it is expensive [4,5]. The author proposes an alternative practical comprehensive technique to be used.…”

Section: Discussionmentioning

confidence: 99%

“…Although ligation with either absorbable or nonabsorbable sutures has been regarded as the standard for hemostasis, alternative methods such as electrocoagulation, laser evaporation, and harmonic scalpel also are used to stop bleeding [1][2][3]. However, when there is massive bleeding, especially in the presacral area, packing and occluder pin (Hayden Medical Inc., Santa Clarita, CA, USA) might be necessary to stop such types of bleeding [4,5]. The aim of this retrospective clinical study was to describe an alternative method to stop massive bleeding in the pelvis during colorectal surgery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Foley balloons’ tamponade is an effective method for controlling massive pelvic bleeding during colorectal surgery

Hsu

2022

Ann Coloproctol

View full text Add to dashboard Cite

Purpose: Hemostasis can be achieved by various methods, but it can be difficult to stop active bleeding in the pelvis. An effective method is described to stop massive active bleeding in the pelvis during colorectal surgery. Methods: When there were massive bleedings in the pelvis, 3 to 5 Foley catheters were inserted through stab wounds on the abdomen. The tips of catheters were placed in the pelvis. Each balloon was inflated with 40 mL of sterile water. The water inside each balloon was removed gradually from the third postoperative day. If there is no further bleeding, all catheters were removed on the 7th postoperative day. Results: There were 8 patients (4 males and 4 females) with massive pelvic bleeding encountered from January 1998 to December 2018. Four patients underwent low anterior resection for primary rectal cancer, 2 patients for colon cancer with pelvic recurrence, 1 patient for ovary cancer with pelvic recurrence, and 1 patient for presacral parachordoma with a bleeding tendency. All of the patients survived without further bleeding after surgery. Conclusion: The technique is a simple method to control massive pelvic bleeding during colorectal surgery. It is also inexpensive and effective even in patients with a bleeding tendency.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Foley balloons’ tamponade is an effective method for controlling massive pelvic bleeding during colorectal surgery

Hsu

2022

Ann Coloproctol

View full text Add to dashboard Cite

show abstract

“…One may have to embolise by antegrade or retrograde approach (110,111). Some surgeons advise surgical exploration and packing of the artery while the patient is awaiting an angiogram (112). Vertebral artery injuries can be managed by either stenting or embolisation if it gets transected and usually there is no neurological deficit after embolisation (113).…”

Section: Vertebral Artery Injuriesmentioning

confidence: 99%

Role of Angio-Embolisation in Trauma-Review

Durai

2010

Acta Chirurgica Belgica

View full text Add to dashboard Cite

AE is very useful in managing patients with isolated spleen and liver injuries non-operatively. It can be used alone or as an adjunct to damage-control surgery in complex polytraumas and may decrease the blood loss in pelvic injuries. Whenever a trauma patient with splenic injury is treated non-operatively, subsequent splenic artery pseudoaneurysm should not be forgotten and the patient should be followed up with caution.

show abstract

Size of the collateral intercostal artery in adults: anatomical considerations in relation to thoracocentesis and thoracoscopy

et al. 2002

View full text Add to dashboard Cite

No detailed descriptions exist of the collateral intercostal artery which can provide an accurate anatomical basis for ensuring a low rate of vascular complications during thoracocentesis and thoracoscopy. Consequently the present study was undertaken to provide information on the origin, size and topographic relationships of the collateral intercostal artery. Ninety cadaveric adult intercostal spaces were dissected using standard procedures. The collateral intercostal arteries were exposed throughout their full length and measured at the points within the intercostal spaces considered to be the most important for clinical purposes. The posterior intercostal arteries and their collateral branches were observed to decrease in size from posterior to anterior; however, no significant differences were present in their size in the first four intercostal spaces. Based on these findings the usual thoracocentesis or thoracoscopy technique, in which it is recommended that puncture is done as close as possible to the superior margin of the inferior rib, may lead to collateral intercostal artery laceration and considerable bleeding. A subtle, but important, modification to this technique is suggested aimed at achieving safer access to the intercostal space. In the modified technique, the puncture should be made in the middle of the intercostal space, thereby reducing the possibility of laceration of the collateral intercostal artery.

show abstract

The Use of Hemorrhage Occluder Pins for Controlling Paravertebral Intercostal Artery Bleeding

Abstract: The use of occluder pins to stop bleeding from intercostal arteries may be life-saving.

Cited by 5 publications

References 0 publications

Foley balloons’ tamponade is an effective method for controlling massive pelvic bleeding during colorectal surgery

Foley balloons’ tamponade is an effective method for controlling massive pelvic bleeding during colorectal surgery

Role of Angio-Embolisation in Trauma-Review

Size of the collateral intercostal artery in adults: anatomical considerations in relation to thoracocentesis and thoracoscopy

Contact Info

Product

Resources

About