Control of Bleeding

  • Carol E. H. Scott-ConnerEmail author
  • Jameson L. Chassin


This chapter describes basic techniques for achieving hemostasis, including ligatures (“tying off”), suture ligature, hemostatic clips, electrocautery, and other mechanical methods. It briefly discusses topical hemostatic adjuncts. It introduces concepts essential for dealing with massive bleeding, either unexpected bleeding during an elective procedure or bleeding during laparotomy for trauma.


Fibrin Sealant Bleeding Vessel Oxidize Cellulose Vascular Clamp Splenic Flexure Mobilization 
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Further Reading

  1. Chambers LA, Chow SJ, Shaffer LE. Frequency and characteristics of coagulopathy in trauma patients treated with a low- or high-plasma-content massive transfusion protocol. Am J Clin Pathol. 2011;136:364.PubMedCrossRefGoogle Scholar
  2. Harrell AG, Kercher KW, Heniford BT. Energy sources in laparoscopy. Semin Laparosc Surg. 2004;11:201.PubMedGoogle Scholar
  3. Holcomb JB, Pusateri AE, Hess JR, et al. Implications of new dry fibrin sealant technology for trauma surgery. Surg Clin North Am. 1997;77:943.PubMedCrossRefGoogle Scholar
  4. Jackson MR, Alving BM. Fibrin sealant in preclinical and clinical studies. Curr Opin Hematol. 1999;6:415.PubMedCrossRefGoogle Scholar
  5. Lier H, Bottiger BW, Hinkelbein J, Krep H, Bernhard M. Coagulation management in multiple trauma: a systematic review. Intensive Care Med. 2011;37:572.PubMedCrossRefGoogle Scholar
  6. Newcomb WL, Hope WW, Schmelzer TM, et al. Comparison of blood vessel sealing among new electrosurgical and ultrasonic devices. Surg Endosc. 2009;23:90.PubMedCrossRefGoogle Scholar
  7. Trus TL. Chapter 10. Laparoscopic hemostasis: hemostatic products and adjuncts. In: Soper NJ, Scott-Conner CEH, editors. The SAGES manual, vol. I. 3rd ed. New York: Springer Science + Business Media; 2012.Google Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Carol E. H. Scott-Conner
    • 1
    Email author
  • Jameson L. Chassin
    • 2
  1. 1.Department of Surgery, Roy J. and Lucille A. Carver College of MedicineUniversity of IowaIowa CityUSA
  2. 2.Department of SurgeryNew York University School of MedicineNew YorkUSA

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