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Surgical pelvic packing as a means of controlling massive intraoperative bleeding during pelvic posterior exenteration – a case report and review of the literature
  1. D. Wydra*,
  2. J. Emerich*,
  3. K. Ciach,
  4. M. Dudziak* and
  5. A. Marciniak
  1. * Department of Gynecology of Medical University of Gdańsk, Poland
  2. Department of Obstetrics of Medical University of Gdańsk, Poland
  3. Department of Anesthesia of Medical University of Gdańsk, Poland
  1. Address correspondence and reprint requests to: Dariusz Wydra, MD, PhD, ul. Kliniczna 1 A 80-402 Gdansk, Poland. Email: dwydra{at}


This is a report of a case of gynecological hemorrhage after a posterior pelvic exenteration in patients with vulvar cancer treated by temporary pelvic packing at the Department of Gynecology of the Medical University in Gdańsk. The packing was successful and the sponges were removed after 24 h. Twenty-eight days after the operation, the patient was transferred to the Department of Radiotherapy for supplementary treatment. In patients with severe intraoperative hemorrhage, intra-abdominal packing has been successful as a mode of treatment.

  • gynecological
  • pelvic exenteration
  • pelvic packing
  • vulvar cancer
  • hemorrhage

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