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[Using various methods of intraoperative hemostasis in laparoscopic genitourinary surgery in children]

F O Turov1,2,3, S P Yatsyk1,2,3, I V Poddubnyi1,2,3

  • 1National Medical Research Center of Childrens Health of Minzdrav of Russia, Moscow, Russia.

Urologiia (Moscow, Russia : 1999)
|June 15, 2018
PubMed

Insights

Optimized hemostasis using the LigaSure device significantly reduced operative time and blood loss in pediatric laparoscopic genitourinary surgery. This method offers improved safety and outcomes for children undergoing these procedures.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Minimally Invasive Surgery

Background:

  • Intraoperative hemostasis is critical for successful pediatric laparoscopic genitourinary surgery.
  • Standard hemostasis techniques can be time-consuming and associated with complications.

Purpose of the Study:

  • To evaluate the efficacy of an optimized hemostasis technique using an automated electrosurgical vessel ligation device (LigaSure) in pediatric laparoscopic genitourinary surgery.
  • To compare outcomes with standard hemostasis methods.

Main Methods:

  • A study involving 110 children with genitourinary diseases.
  • A study group (70 children) underwent surgery with LigaSure optimized hemostasis.
  • A control group (40 children) received standard mono- or bipolar coagulation.

Main Results:

  • Optimized hemostasis group had significantly shorter operative times (77.02 min vs. 112.5 min).
  • Significantly lower blood loss in the optimized group (17.9 ml vs. 34.2 ml).
  • No intraoperative complications or conversions to open surgery in the optimized group, unlike the control group.

Conclusions:

  • Optimized hemostasis with LigaSure is effective for pediatric laparoscopic genitourinary surgery.
  • This method minimizes tissue injury, eliminates the need for vessel clipping/ligation, and reduces operative time and blood loss.
Abstract

Keywords:
electrocoagulationheminephrectomyhemostasislaparoscopynephrectomypediatricsresection of teratoma

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