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Pelvic Bleeding

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Complexities in Colorectal Surgery

Abstract

Hemorrhage during pelvic surgery is a rare but potentially life-threatening event. Areas of the pelvis that are potential sites of hemorrhage include the presacral space, iliac vasculature, retroprostatic or retrovaginal region, and pelvic floor. Familiarity with pelvic anatomy and meticulous surgical technique limits the risk of uncontrolled bleeding. The surgeon must remain calm, demonstrate confidence, and have open communication with the operative team and anesthesiologist to effectively manage this difficult scenario.

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Author information

Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, College of Medicine, Mayo Clinic, 4500 San Pablo Rd, Jacksonville, FL, 32224, USA

    Amit Merchea MD

  2. Division of Colon and Rectal Surgery, Department of Surgery, College of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55904, USA

    Bruce G. Wolff MD

Authors
  1. Amit Merchea MD
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  2. Bruce G. Wolff MD
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Corresponding author

Correspondence to Bruce G. Wolff MD .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Madigan Army Medical Center, Fort Lewis, WA, USA

    Scott R. Steele MD

  2. Division of Colorectal Surgery Department of Surgery, UMass Memorial Medical Center University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel MD

  3. Division of Colon and Rectal Surgery Department of Surgery, Case Western Reserve University School of Medicine University Hospitals, Cleveland, OH, USA

    Bradley J. Champagne MD

  4. Division of Colon and Rectal Surgery Department of Surgery, Louisiana State University Health Science Center LSU School of Medicine, New Orleans, LA, USA

    Guy R. Orangio MD

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Merchea, A., Wolff, B.G. (2014). Pelvic Bleeding. In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_19

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  • DOI: https://doi.org/10.1007/978-1-4614-9022-7_19

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9021-0

  • Online ISBN: 978-1-4614-9022-7

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