IMR Press / EJGO / Volume 26 / Issue 2 / pii/2005131

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.


Management of massive presacral pelvic bleeding in patients with gynecological malignances: Review of the literature

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1 Department of Gynecology, Medical University of Gdańsk, Poland
2 Department of Obstetrics, Medical University of Gdańsk, Poland
3 Department of Anesthesiology, Medical University of Gdańsk, Poland
Eur. J. Gynaecol. Oncol. 2005, 26(2), 151–154;
Published: 10 April 2005

Hemorrhage has always been a significant potential complication in the field of gynecological oncology. Throughout the years, a variety of medical and surgical modalities aimed at controlling pelvic hemorrhage have been developed. Most recently, these have focused on attempting to decrease the morbidity associated with pelvic bleeding The effectiveness of and the complications involved in controlling massive hemorrhage by the preemptive method of vascular clamping of the aorta, intraoperative methods, such as the local application of procoagulants and of prolonged compression (pelvic gauze packing, plastic wrapped gauze packing, autograft tissue compression and balloon compression) have all been reviewed. Sur­geons are able to acquaint themselves with the choice of methods that can be employed during massive pelvic bleeding resulting from procedures on gynecological malignancies.

Presacral bleeding
Gynecological malignances
Pelvic packing
Balloon compression
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