Hemostasis has been a key issue from the beginning of laparoscopic general surgery. Precise visualization can only be attained during laparoscopy in a bloodless field. Hemostasis must be attained at the first attempt, because the limitations of access and a small visual field make a second chance much more risky. Prevention of bleeding requires the timely and appropriate use of technology, much of it newly modified for the laparoscopic approach. In this section we present a variety of major hemostatic modalities that can be used during laparoscopic surgery. Monopolar electrosurgery will be emphasized because it is employed during most operations. A practical section on the laparoscopic control of active bleeding is included.
KeywordsLaparoscopic Surgery Active Electrode Electrode Surface Area Clip Applier Tissue Heating
Unable to display preview. Download preview PDF.
- Hunter JG, Trus TL. Lasers and argon beam in endoscopic surgery. In: Endosurgery. Toouli J, Gossot D, Hunter JG (eds.) New York: Churchill Livingstone, 1996, pp. 103–109.Google Scholar
- Melzer A. Endoscopic instruments—conventional and intelligent. In: Endosurgery. Toouli J, Gossot D, Hunter JG (eds.) New York: Churchill Livingstone, 1996, pp. 69–95.Google Scholar