LCI mode is quite efficient in detecting the bleeding points
during ESD, while WLE mode is recommended for the dissection procedure to avoid vascular damage.
Tips for controlling a bleeding point
include percutaneous placement of a suture ligature over a roll of gauze or using a Foley catheter to tamponade the bleeder
Presence of signs of periodontal disease was high for this group of mothers showing a 63% prevalence of bleeding points
, which implies the presence of an active inflammation process at the time of dental examination.
Although most cases of epistaxis can be managed by compression of the nostrils, packing of the affected nostrils, angiotonics and sedatives1, the treatment of intractable epistaxis using conventional methods remains a challenge because the bleeding points
are occult and deep.
After laparotomy about 1500ml of hemoperitoneum was seen in abdominal cavity, Because of excessive bleeding point
In our study, more than 50% patients had massive hemoptysis, about 70% patients can't be identified bleeding point
by chest CT, 41% patients hemorrhage source from two lungs according the bronchial arteriography.
Conclusion: Electrocautery and chemical cautery with 50% silver nitrate both are equally effective procedures to control anterior epistaxis if the bleeding point
is visible and small.
With this approach, every bleeding point
can be seen and treated carefully.
Regarding control of nasal bleeding, we used 3 conservative modalities in a stepwise fashion: initially chemical cauterization (silver nitrate) if bleeding point
was visible, anterior nasal packing if bleeding was profuse, and posterior nasal packing if anterior nasal packing failed.
But what if the bleeding point
is too deep to reach?
Flexible esophagogastroscopy demonstrated a bleeding point
It is lifesaving in postoperative hemorrhage after abdominal or vaginal hysterectomy where no definitive bleeding point