Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press25910.17650/2220-3478-2018-8-3-42-45CASE REPORTКЛИНИЧЕСКОЕ НАБЛЮДЕНИЕNew method of stopping bleeding from the presacral venous plexus during the rectal cancer operation: a case reportНовый метод остановки кровотечения из пресакрального венозного сплетения при операции на прямой кишке по поводу рака (клиническое наблюдение)https://orcid.org/0000-0003-0379-0186Parfir’evaE. M.ПарфирьеваЕ. А.
Russian Federation

115 Prospekt Lenina, 634054 Tomsk 

Екатерина Михайловна Парфирьева.

634054 Томск, проспект Ленина, 115

Forerunner@yandex.ruhttps://orcid.org/0000-0002-3697-1816IvchenkoA. O.ИвченкоА. О.
Russian Federation

2 Moskovskij trakt, 634050 Tomsk

634050 Томск, Московский тракт, 2

https://orcid.org/0000-0002-7686-3481IvchenkoO. A.ИвченкоО. А.
Russian Federation

2 Moskovskij trakt, 634050 Tomsk

634050 Томск, Московский тракт, 2

Tomsk Regional Oncological DispensaryОГАУЗ Томский областной онкологический диспансерSiberian State Medical UniversityФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава России031120188342450311201803112018Copyright ©; 2018, Parfir’eva E.M., Ivchenko A.O., Ivchenko O.A.Copyright ©; 2018, Парфирьева Е.А., Ивченко А.О., Ивченко О.А.2018Parfir’eva E.M., Ivchenko A.O., Ivchenko O.A.Парфирьева Е.А., Ивченко А.О., Ивченко О.А.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/259

Presacral venous bleeding is a rare but potentially fatal complication in pelvic surgery. This type of bleeding is difficult to control. Existing methods are not without shortcomings, therefore, the search for a more reliable method. We are present a case of successful bleeding control using by plates of medium-porous nitinol (pore size of 300–450 μm, permeability of 12 × 10–9). Hemostasis was carried out by pressing  a plate to the bleeding zone for 4 minutes.

Кровотечение из пресакрального венозного сплетения – редкое, но потенциально фатальное осложнение в хирургии таза. Данный вид кровотечения тяжело контролируется. Существующие методики не лишены недостатков, поэтому продолжается поиск более надежного метода. Приведен случай успешной остановки кровотечения с использованием пластин среднепористого никелида титана (с порами размером 300–450 мкм и проницаемостью 12 × 10–9). Гемостаз осуществлялся прижатием пластины к зоне кровотечения в течение 4 мин.

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