Principles of Laparoscopic Hemostasis

Abstract

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.