Assistant Professor of General Surgery, Tehran University of Medical Sciences, Colorectal Research Center, Imam Khomaini Hospital, Tehran, Iran
Abstract
Venous bleeding from the anterior surface of the sacrum is a potentially life-threatening complication in rectal surgeries and pelvic dissection. Rapid control of bleeding is crucial to prevent its potentially fatal consequences. A thorough preoperative assessment and preparation for patients at risk of bleeding is essential, and this, combined with proper exposure and meticulous surgical technique, plays a key role in preventing hemorrhage. Maintaining composure and using a stepwise approach when encountering various bleeding scenarios is highly recommended. Pelvic packing is the first and most important step for temporary bleeding control, allowing for precise localization of the bleeding site, maintaining patient stability, and preparing for definitive treatment. Standard bleeding control techniques, such as electrocautery, suture ligation, and clips, are often ineffective for pelvic bleeding and may even exacerbate it. Massive pelvic hemorrhage is one of the most daunting intraoperative complications for a colorectal surgeon. However, with the appropriate approach, it can be managed effectively.
Ahmadi Tafti,S , Fazeli,M , Kazemeini,A , Naseri,A , Pak,H , Keramati,M , Keshvari,A , Radmehr,E and Behboudi,B . (2025). A Review of the Management of Severe Bleeding from the AnteriorSacrum in Rectal Surgery. Iranian Journal of Surgery, 33(Summer), 1-8.
MLA
Ahmadi Tafti,S , , Fazeli,M , , Kazemeini,A , , Naseri,A , , Pak,H , , Keramati,M , , Keshvari,A , , Radmehr,E , and Behboudi,B . "A Review of the Management of Severe Bleeding from the AnteriorSacrum in Rectal Surgery", Iranian Journal of Surgery, 33, Summer, 2025, 1-8.
HARVARD
Ahmadi Tafti S, Fazeli M, Kazemeini A, Naseri A, Pak H, Keramati M, Keshvari A, Radmehr E, Behboudi B. (2025). 'A Review of the Management of Severe Bleeding from the AnteriorSacrum in Rectal Surgery', Iranian Journal of Surgery, 33(Summer), pp. 1-8.
CHICAGO
S Ahmadi Tafti, M Fazeli, A Kazemeini, A Naseri, H Pak, M Keramati, A Keshvari, E Radmehr and B Behboudi, "A Review of the Management of Severe Bleeding from the AnteriorSacrum in Rectal Surgery," Iranian Journal of Surgery, 33 Summer (2025): 1-8,
VANCOUVER
Ahmadi Tafti S, Fazeli M, Kazemeini A, Naseri A, Pak H, Keramati M, Keshvari A, Radmehr E, Behboudi B. A Review of the Management of Severe Bleeding from the AnteriorSacrum in Rectal Surgery. Iranian Journal of Surgery. 2025;33(Summer):1-8.
