Haemostasis in laparoscopy

European Urology
Christoph KlinglerGünter Janetschek

Abstract

Adequate haemostasis is essential for advanced laparoscopic procedures since uncontrolled bleeding may cause significant complications and even required converting to laparotomy to obtain sufficient haemostasis. The aim of this review is to give insight into the most important tools and strategies to achieve sufficient haemostasis during advanced urologic laparoscopy. Lowering the risk of haemorrhage may be achieved primarily by proper case selection, resulting in adequate laparoscopic preparation and dissection technique or the use of local compression by sponge stick to control local bleeding. For early bleeding control, laparoscopic clip appliers, staplers and suturing techniques may be utilised. Various energy sources such as monopolar and bipolar electrocautery, argon beam coagulators, laser or ultrasonic dissectors and topical sealing agents can be used to augment natural haemostasis. A wide armamentarium for achieving haemostasis during laparoscopy is available. Consequently, laparoscopic surgeons must have detailed knowledge of the physical concepts of each surgical instrument or energy source and of proper use of tissue sealants for obtaining sufficient haemostasis. This knowledge will improve postoperative outcome, in...Continue Reading

References

Jan 1, 1992·Lasers in Surgery and Medicine·D E JohnsonR E Price
Aug 1, 1995·Current Opinion in Obstetrics & Gynecology·C Sutton
May 1, 1996·Surgical Endoscopy·M Scheyer, G Zimmermann
Jun 5, 1998·Surgical Endoscopy·J S KennedyJ G Chandler
Feb 2, 2000·Urology·G JanetschekG Bartsch
Feb 24, 2001·Journal of Endourology·D E McGinnisL G Gomella
Aug 16, 2001·Journal of Biomedical Materials Research·D G WallaceG C Coker
Jan 12, 2002·Journal of Biomedical Materials Research·A Simon TurnerNoël Powers
Jan 17, 2002·The Journal of Urology·Inderbir S GillAndrew C Novick
Jan 25, 2003·Journal of Endourology·Kenneth OganJeffrey A Cadeddu
Jun 14, 2003·Journal of Endourology·Robert W Santa-CruzThomas J Polascik
Jul 30, 2003·Journal of Endourology·Kenneth OganJeffrey A Cadeddu
Aug 2, 2003·Urology·Herbert M User, Robert B Nadler
Dec 11, 2003·Urology·Jay T BishoffStanley Friedman
Jan 22, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Alfredo M CarbonellB Todd Heniford
Mar 31, 2004·BJU International·R S PruthiM Richman
Jun 19, 2004·Current Opinion in Urology·Karim Touijer, Bertrand Guillonneau
Oct 29, 2004·Seminars in Laparoscopic Surgery·Andrew G HarrellB Todd Heniford
Dec 14, 2004·Transplantation·Douglas L ConstantDouglas P Slakey
Mar 19, 2005·European Urology·Firas AbukoraGünter Janetschek
May 4, 2005·Journal of Endourology·Carlos A UribeRalph V Clayman
Nov 15, 2005·Journal of Endourology·Jonathan E BernieChandru P Sundaram

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Citations

Mar 22, 2012·Der Urologe. Ausg. A·H LoertzerA Strauß
Oct 11, 2008·World Journal of Urology·Reinhold Zimmermann, Günter Janetschek
Jun 27, 2008·Journal of Endourology·Mitchell R HumphreysMark H Ereth
Oct 23, 2010·Journal of Endourology·Luca CindoloLuigi Schips
Aug 21, 2009·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Giovanni Carlo FerrariRaffaele Pugliese
Jul 31, 2013·Annals of Surgical Innovation and Research·Edward ChekanAlexander H Feng
Mar 22, 2012·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Benjamin QuarteyChad Cryer
Jul 10, 2009·Langenbeck's Archives of Surgery·Raffaele PuglieseCarmelo Magistro
Nov 8, 2013·Journal of Medical Engineering & Technology·Goldis DarbemamiehSiamak Najarian
Dec 5, 2012·The Journal of Urology·Markus MargreiterHans-Christoph Klingler
Apr 3, 2013·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·V ArnouxJ A Long
Feb 14, 2015·Taiwanese Journal of Obstetrics & Gynecology·Jae Eun LeeMyong Cheol Lim
Apr 20, 2010·European Urology·Luca CindoloLuigi Schips
Oct 16, 2007·European Urology·Tullio Sulser
May 15, 2007·European Urology·Grégory VerhoestJean-Jacques Patard
Feb 9, 2016·Journal of Minimally Invasive Gynecology·Lisa Caronia HickmanTommaso Falcone
May 8, 2007·European Urology·Renaud BollensClaude C Schulman
Jul 15, 2009·BJU International·Mario FalsaperlaGiuseppe Morgia
Jul 6, 2014·World Journal of Urology·Iason KyriazisEvangelos Liatsikos
Jan 7, 2017·Tropical Doctor·J Gnanaraj
May 6, 2011·Expert Review of Medical Devices·Teruyuki OgawaMomokazu Gotoh
Oct 19, 2019·The Journal of Trauma and Acute Care Surgery·Allison J TompeckMayur Narayan
May 28, 2020·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Margarida PachecoRui L Reis
Oct 28, 2019·The Journal of Obstetrics and Gynaecology Research·Burak SezginHakan Camuzcuoğlu
Jul 21, 2010·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Jae-Yen SongMee-Ran Kim
Sep 7, 2020·Obesity Surgery·Prakhar GuptaP Praveen Raj
Dec 19, 2020·Journal of Clinical Medicine·Sebastian HottenrottPeter Kranke
Mar 11, 2015··Dale F. SchmaltzAaron S. Kennedy

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