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Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta

Title: Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta
Authors: Singh, G; Nahm, CB; Jamieson, NB; Chua, TC; Wong, S; Thoo, C; Mittal, A; Gill, AJ; Samra, JS
Publisher Information: Springer Science and Business Media LLC
Publication Year: 2019
Collection: Griffith University: Griffith Research Online
Subject Terms: Clinical sciences; Bleeding; Complication; Fistula; Mortality; Pancreatectomy
Description: Background: Delayed massive post-pancreatectomy haemorrhage (PPH) is a highly lethal complication after pancreatectomy. Angiographic procedures have led to improved outcomes in the management of these patients. In the setting of an acute haemorrhage, laparotomy and packing are often required to help stablise the patient. However, re-operative surgery in the post-pancreatectomy setting is technically challenging. Methods: A novel strategy of incorporating the resuscitative endovascular balloon occlusion of the aorta (REBOA) is described. Results: Two patients where the specific application of this technique uses the REBOA were described. Conclusion: The REBOA serves as a useful adjunct in haemorrhage control and haemodynamic stablisation to allow successful management of delayed massive PPH. ; No Full Text
Document Type: article in journal/newspaper
Language: English
Relation: Langenbeck's Archives of Surgery; Singh, G; Nahm, CB; Jamieson, NB; Chua, TC; Wong, S; Thoo, C; Mittal, A; Gill, AJ; Samra, JS, Management of post-pancreatectomy haemorrhage using resuscitative endovascular balloon occlusion of the aorta, Langenbeck's Archives of Surgery, 2019, 404 (2), pp. 253-255; https://hdl.handle.net/10072/388069
DOI: 10.1007/s00423-019-01759-0
Availability: https://hdl.handle.net/10072/388069; https://doi.org/10.1007/s00423-019-01759-0
Rights: open access
Accession Number: edsbas.28F0E58E
Database: BASE