Sterile Thumbtacks
Sacral thumbtacks · Hemorrhage occluder pins · Presacral occluder pins · Hemostatic tacks
Small metal tacks with a flat round head and a short sharp shaft, sterilizationstair-uh-luh-ZAY-shunA process that destroys all microorganisms, including spores, on an item; also a permanent birth control procedure.Full entry for use in the body. Ordinary stainless steel thumbtacks are used, and purpose-made titanium occluder pins also exist.
On the table
What it does and what experienced techs know about it.
What it’s for
A last-resort way to stop bleeding from presacral veins, which retract into the sacrumSAY-krumThe large, triangle-shaped bone at the base of the spine, between the two hip bones.sacr/o sacrumFull entry and are hard to control. The tack is placed over the bleeding point in the presacral fasciaFASH-ee-uhA sheet or band of tough connective tissue that covers and separates muscles and organs.fasci/o bandFull entry and pushed into the sacrum with the thumb. Kept available for sacrocolpopexy and other deep pelvic cases, used when sutureSOO-cherA stitch, or the thread used to stitch, that holds the edges of a wound or incision together.Full entry , clips and bone wax fail.
What experienced techs know
What techs who reach for it every day know about it.Pro
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3 sources
- Te Linde's Operative Gynecology. 10th ed. Control of pelvic hemorrhage, p. 389
- Te Linde's Operative Gynecology. 10th ed. Abdominal sacral colpopexy, p. 925
- haydenmedical.com
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