Efficacy of pelvic packing in maintaining hemostasis after rectal excision for cancer
In a retrospective study, the records of 95 patients who underwent rectal resection for carcinoma were reviewed to assess the efficacy and complications of pelvic packing for hemorrhage. Heavier blood loss was noted with fixed tumors, where preoperative radiation had been given, or there had been pr...
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| Veröffentlicht in: | Diseases of the colon & rectum 1988-12, Vol.31 (12), p.923-928 |
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| container_issue | 12 |
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| container_title | Diseases of the colon & rectum |
| container_volume | 31 |
| creator | ZAMA, N FAZIO, V. W JAGELMAN, D. G LAVERY, I. C WEAKLEY, F. L CHURCH, J. M |
| description | In a retrospective study, the records of 95 patients who underwent rectal resection for carcinoma were reviewed to assess the efficacy and complications of pelvic packing for hemorrhage. Heavier blood loss was noted with fixed tumors, where preoperative radiation had been given, or there had been previous pelvic surgery, compared with situations where these factors were absent. Three patients died from myocardial infarction, pulmonary embolus, and renal failure, respectively. No patients required further hemostatic measures after pack removal. Perineal wound infection or delayed perineal wound healing occurred in 22 percent and abdominal wound infection in 6 percent of the patients. There were no instances of anastomotic leak, abdominal abscess, or pelvic abscess requiring laparotomy for treatment in this series. Pelvic packing is a safe, simple, and effective procedure for patients with problematic pelvic bleeding after rectal resection. |
| doi_str_mv | 10.1007/BF02554887 |
| format | Article |
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There were no instances of anastomotic leak, abdominal abscess, or pelvic abscess requiring laparotomy for treatment in this series. Pelvic packing is a safe, simple, and effective procedure for patients with problematic pelvic bleeding after rectal resection.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/BF02554887</identifier><identifier>PMID: 3215096</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>Biological and medical sciences ; Carcinoma - pathology ; Carcinoma - radiotherapy ; Carcinoma - surgery ; Female ; Gastroenterology. Liver. Pancreas. 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Perineal wound infection or delayed perineal wound healing occurred in 22 percent and abdominal wound infection in 6 percent of the patients. There were no instances of anastomotic leak, abdominal abscess, or pelvic abscess requiring laparotomy for treatment in this series. Pelvic packing is a safe, simple, and effective procedure for patients with problematic pelvic bleeding after rectal resection.</description><subject>Biological and medical sciences</subject><subject>Carcinoma - pathology</subject><subject>Carcinoma - radiotherapy</subject><subject>Carcinoma - surgery</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hemoperitoneum - prevention & control</subject><subject>Hemostasis, Surgical - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - prevention & control</subject><subject>Rectal Neoplasms - pathology</subject><subject>Rectal Neoplasms - radiotherapy</subject><subject>Rectal Neoplasms - surgery</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. 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Abdomen</topic><topic>Hemoperitoneum - prevention & control</topic><topic>Hemostasis, Surgical - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - prevention & control</topic><topic>Rectal Neoplasms - pathology</topic><topic>Rectal Neoplasms - radiotherapy</topic><topic>Rectal Neoplasms - surgery</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ZAMA, N</creatorcontrib><creatorcontrib>FAZIO, V. W</creatorcontrib><creatorcontrib>JAGELMAN, D. G</creatorcontrib><creatorcontrib>LAVERY, I. C</creatorcontrib><creatorcontrib>WEAKLEY, F. L</creatorcontrib><creatorcontrib>CHURCH, J. 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M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of pelvic packing in maintaining hemostasis after rectal excision for cancer</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1988-12-01</date><risdate>1988</risdate><volume>31</volume><issue>12</issue><spage>923</spage><epage>928</epage><pages>923-928</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>In a retrospective study, the records of 95 patients who underwent rectal resection for carcinoma were reviewed to assess the efficacy and complications of pelvic packing for hemorrhage. Heavier blood loss was noted with fixed tumors, where preoperative radiation had been given, or there had been previous pelvic surgery, compared with situations where these factors were absent. Three patients died from myocardial infarction, pulmonary embolus, and renal failure, respectively. No patients required further hemostatic measures after pack removal. Perineal wound infection or delayed perineal wound healing occurred in 22 percent and abdominal wound infection in 6 percent of the patients. There were no instances of anastomotic leak, abdominal abscess, or pelvic abscess requiring laparotomy for treatment in this series. Pelvic packing is a safe, simple, and effective procedure for patients with problematic pelvic bleeding after rectal resection.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>3215096</pmid><doi>10.1007/BF02554887</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3706 |
| ispartof | Diseases of the colon & rectum, 1988-12, Vol.31 (12), p.923-928 |
| issn | 0012-3706 1530-0358 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Journals@Ovid Complete |
| subjects | Biological and medical sciences Carcinoma - pathology Carcinoma - radiotherapy Carcinoma - surgery Female Gastroenterology. Liver. Pancreas. Abdomen Hemoperitoneum - prevention & control Hemostasis, Surgical - methods Humans Male Medical sciences Middle Aged Postoperative Complications - prevention & control Rectal Neoplasms - pathology Rectal Neoplasms - radiotherapy Rectal Neoplasms - surgery Reoperation Retrospective Studies Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors |
| title | Efficacy of pelvic packing in maintaining hemostasis after rectal excision for cancer |
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