Titanium thumbtacks for control of presacral hemorrhage

“Overwhelming, life-threatening sacral bleeding is nearly always stopped with the use of sterile thumbtacks.”1

Shackelford’s Surgery of the Alimentary Tract

“Sterile titanium thumbtacks should be available in all operating rooms where rectal surgery is performed.”4

Abe Fingerhut, MD
Presacral bleeding during pelvic surgery can be difficult to control by conventional methods and may result in massive hemorrhage and death. The HEMORRHAGE OCCLUDER PIN is a simple, well documented solution to this problem.
  • Designed to control severe sacral bleeding during pelvic surgery
  • To be used when clamping, suturing and cauterization are ineffective
  • Easily and effectively used when time is critical
  • 10 mm diameter head
  • Serrated 7 mm shaft to prevent withdrawal and migration
  • Made of medical grade titanium
  • Available with or without APPLICATOR

Hemorrhage Occluder Pin for control of presacral bleeding video animation

  • Hemorrhage Occluder Pin
  • Catalog No. HOP-03
  • Supplied sterile
  • 5 units per box
  • Hemorrhage Occluder Pin with Applicator
  • Catalog No. HOP-AP
  • Supplied sterile
  • 2 units per box


  1. Yeo CJ. Shackelford’s Surgery of the Alimentary Tract. Philadelphia, PA: Elsevier/Saunders 2012;1705
  2. Kumar S, Malhotra N, Chumber S, Gupta P, Aruna J, Roy KK, Sharma JB. Control of presacral venous bleeding, using thumbtacks. Arch Gynecol Obstet 2007;276-385
  3. Thiel I, Lang PFJ, Tamussino KF, Winter R. Thumbtack application for control of presacral hemorrhage at pelvic lymphadenectomy: a case report. J Pelvic Surg 2001;7:5:303-304
  4. Arnaud JP, Tuech JJ, Pessaux P. Management of presacral venous bleeding with the use of thumbtacks. Dig Surg 2000;17:6:651-652
  5. Stolfi VM, Milsom JW, Lavery IC, Oakley JR, Church JM, Fazio VW. Newly designed occluder pin for presacral hemorrhage. Dis Colon Rectum 1992;35:166-169
  6. Nivatvongs S, Fang DT. The Use of thumbtacks to stop massive presacral hemorrhage. Dis Colon Rectum 1986;29:589-590
  7. Wang QY, Shi WJ, Zhao YR, Zhou WQ, He ZR. New concepts in severe presacral hemorrhage during proctectomy. Arch Surg 1985;120:9:1013-1020
  8. Casal Núñez JE, Vigorita V, Ruano Poblador A, Gay Fernández AM, Toscano Novella MA, Cáceres Alvarado N, Dominguez L. Presacral venous bleeding during mobilization in rectal cancer. World J Gastroenterol 2017;23(9):1712-1719
  9. Mauraviciute S, Dulskas A. Treatment strategies for massive presacral bleeding. Dis Colon Rectum 2020;63(12):1579-1583


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