Abstract
The general principle of dissection in laparoscopic surgery is to be familiar with avascular anatomic planes of all kinds of urinary organs and every important anatomical landmark. Various options of hemostatic techniques (physical modalities, thermal modalities, and tissue sealants) can be employed in the laparoscopic approach, and timely surgical conversion should be always kept in mind. Local compression is the first step in the emergent management of bleeding and may be all that is needed in some cases. For larger vessels of up to 7 mm, LigaSure™ should be preferred, but below 4 mm, all vessel sealing systems seem to be equivalent. Any device with thermal diffusion should be completely avoided when nerve-sparing surgery is attempted.
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© 2012 Springer-Verlag London
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Huang, J. (2012). Dissection and Hemostasis in Urologic Laparoscopy: Tips and Tricks. In: Sun, Y., Smith, A., Yang, B. (eds) The Training Courses of Urological Laparoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-2723-9_10
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DOI: https://doi.org/10.1007/978-1-4471-2723-9_10
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