Bipolar electrocoagulation is useful for control of intractable presacral hemorrhage during abdominal radical hysterectomy

Presacral hemorrhage daring pelvic surgery is usually difficult to control. We here report our experience in controlling intractable presacral hemorrhage by using bipolar electrocauterization in four patients with cervical carcinoma. During radical hysterectomy, presacral hemorrhage occurred in these four patients and failed to be controlled by conventional maneuvers, such as compression with digit or gauze or suture ligation of the bleeding areas or both. The amount of estimated blood loss exceeded 3000 ml in each patient. Satisfactory hemostasis was achieved by bipolar electrocoagulation of the bleeding areas with Kleppinger forceps. Presacral hemorrhage was achieved by bipolar electrocoagulation of the bleeding areas with Kleppinger forceps. Presacral hemorrhage was well controlled in all cases, without obvious complications.