Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
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'Fast-track' rehabilitation has been shown to accelerate recovery, reduce general morbidity and decrease hospital stay after elective colonic surgery. Despite this evidence, there is no information on the acceptance and utilization of these concepts among the entirety of Austrian and German surgeons. ⋯ Although there is an evident benefit of fast-track management, the survey shows that they are not yet widely used as a routine in Austria and Germany.
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Case Reports
Case report of uncontrollable pelvic bleeding--managed by a previously unreported method (QuikClot).
Pelvic haemorrhage can be difficult to control. Several measures including packing, drawing pins, stenting and embolization are available. We present a case where these measures failed to control catastrophic pelvic bleeding while operating in the pelvis to excise a dumbbell tumour involving the right S1 nerve root. ⋯ QuikClot is an inert substance and acts as a selective sponge. This product is licensed for external use by the British military. We felt that 'internal' use of Quikclot in this situation might be lifesaving and was applied to the bleeding area, stopping the bleeding immediately.