Presacral venous bleeding during mobilization in rectal cancer

AIM To analyze the anatomy of sacral venous plexus flow, the causes of injuries and the methods for controlling presacral hemorrhage during surgery for rectal cancer.METHODS A review of the databases MEDLINE? and Embase? was conducted, and relevant scientific articles published between January 1960...

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Veröffentlicht in:World journal of gastroenterology : WJG 2017-03, Vol.23 (9), p.1712-1719
Hauptverfasser: Casal Núñez, Jose Enrique, Vigorita, Vincenzo, Ruano Poblador, Alejandro, Gay Fernández, Ana María, Toscano Novella, Maria Ángeles, Cáceres Alvarado, Nieves, Pérez Dominguez, Lucinda
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container_end_page 1719
container_issue 9
container_start_page 1712
container_title World journal of gastroenterology : WJG
container_volume 23
creator Casal Núñez, Jose Enrique
Vigorita, Vincenzo
Ruano Poblador, Alejandro
Gay Fernández, Ana María
Toscano Novella, Maria Ángeles
Cáceres Alvarado, Nieves
Pérez Dominguez, Lucinda
description AIM To analyze the anatomy of sacral venous plexus flow, the causes of injuries and the methods for controlling presacral hemorrhage during surgery for rectal cancer.METHODS A review of the databases MEDLINE? and Embase? was conducted, and relevant scientific articles published between January 1960 and June 2016 were examined. The anatomy of the sacrum and its venous plexus, as well as the factors that influence bleeding, the causes of this complication, and its surgical management were defined.RESULTS This is a review of 58 published articles on presacral venous plexus injury during the mobilization of the rectum and on techniques used to treat presacral venous bleeding. Due to the lack of cases published in the literature, there is no consensus on which is the best technique to use if there is presacral bleeding during mobilization in surgery for rectal cancer. This review may provide a tool to help surgeons make decisions regarding how to resolve this serious complication.CONCLUSION A series of alternative treatments are described; however, a conventional systematic review in which optimal treatment is identified could not be performed because few cases were analyzed in most publications.
doi_str_mv 10.3748/wjg.v23.i9.1712
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The anatomy of the sacrum and its venous plexus, as well as the factors that influence bleeding, the causes of this complication, and its surgical management were defined.RESULTS This is a review of 58 published articles on presacral venous plexus injury during the mobilization of the rectum and on techniques used to treat presacral venous bleeding. Due to the lack of cases published in the literature, there is no consensus on which is the best technique to use if there is presacral bleeding during mobilization in surgery for rectal cancer. This review may provide a tool to help surgeons make decisions regarding how to resolve this serious complication.CONCLUSION A series of alternative treatments are described; however, a conventional systematic review in which optimal treatment is identified could not be performed because few cases were analyzed in most publications.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v23.i9.1712</identifier><identifier>PMID: 28321171</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Blood Loss, Surgical ; Decision Making ; Electrocoagulation ; Hemostasis ; Hemostasis, Surgical - methods ; Humans ; Hydrodynamics ; Metals ; Pelvis ; Prostheses and Implants ; Rectal Neoplasms - surgery ; Rectum - surgery ; Sacrum - anatomy &amp; histology ; Sacrum - surgery ; Systematic Reviews ; Veins</subject><ispartof>World journal of gastroenterology : WJG, 2017-03, Vol.23 (9), p.1712-1719</ispartof><rights>The Author(s) 2017. 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The anatomy of the sacrum and its venous plexus, as well as the factors that influence bleeding, the causes of this complication, and its surgical management were defined.RESULTS This is a review of 58 published articles on presacral venous plexus injury during the mobilization of the rectum and on techniques used to treat presacral venous bleeding. Due to the lack of cases published in the literature, there is no consensus on which is the best technique to use if there is presacral bleeding during mobilization in surgery for rectal cancer. 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The anatomy of the sacrum and its venous plexus, as well as the factors that influence bleeding, the causes of this complication, and its surgical management were defined.RESULTS This is a review of 58 published articles on presacral venous plexus injury during the mobilization of the rectum and on techniques used to treat presacral venous bleeding. Due to the lack of cases published in the literature, there is no consensus on which is the best technique to use if there is presacral bleeding during mobilization in surgery for rectal cancer. 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source MEDLINE; Baishideng "World Journal of" online journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Blood Loss, Surgical
Decision Making
Electrocoagulation
Hemostasis
Hemostasis, Surgical - methods
Humans
Hydrodynamics
Metals
Pelvis
Prostheses and Implants
Rectal Neoplasms - surgery
Rectum - surgery
Sacrum - anatomy & histology
Sacrum - surgery
Systematic Reviews
Veins
title Presacral venous bleeding during mobilization in rectal cancer
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