Page 40 - Virtual Vascular
P. 40

Identification and open plication or repair of retroperitoneal bleeding

    vessels is reserved for patients with haemodynamic instability, where

    there is failure of conservative or endovascular measures, or  when

    endovascular facilities or expertise is unavailable.


























                                     Bleeding artery





























                                         Plication of bleeding artery










    If there is coagulopathy, the retroperitoneum can be packed and the

    wound re-explored in 24-48 hours’ time. It is essential to transfuse

    blood products to correct low platelets or coagulopathy.
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