A nation's experience of bleeding complications during laparoscopy.

Details

Serval ID
serval:BIB_7E86D192F437
Type
Article: article from journal or magazin.
Collection
Publications
Title
A nation's experience of bleeding complications during laparoscopy.
Journal
American journal of surgery
Author(s)
Schäfer M., Lauper M., Krähenbühl L.
ISSN
0002-9610 (Print)
ISSN-L
0002-9610
Publication state
Published
Issued date
07/2000
Peer-reviewed
Oui
Volume
180
Number
1
Pages
73-77
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Bleeding complications during laparoscopic surgery are rare but probably underreported. The aim of the current study was to elucidate the clinical relevance of bleeding complications and major vascular injuries during standard laparoscopic procedures.
The Swiss Association of Laparoscopic and Thoracoscopic Surgery (SALTS) prospectively collected the data on 14,243 patients undergoing different standard laparoscopic procedures (1995 to 1997). These data were analyzed with special interest in intraoperative and postoperative bleeding complications and major vascular injuries.
In all, 331 patients (2.3%) had intraoperative bleeding complications. Whereas 44 patients suffered from an external bleed of the abdominal wall, the bleeding was internal in the remaining 287. Thirty-three patients with internal bleeding required blood transfusion with a mean blood loss of 1,630 mL. Surgical hemostasis was necessary in 68% of external and 91% of internal bleeds. There were 250 patients (1.8%) with postoperative bleeding complications. External bleeding occurred in 143 patients, and 107 patients developed internal bleeding. External bleeding was mainly treated conservatively (92%), whereas 50% of internal bleeds required further surgical intervention. Major vascular injuries occurred in 12 patients (incidence 0.08%) with open treatment being necessary in all cases.
Bleeding complications are, in fact, common during laparoscopic surgery. Meticulous dissection technique, immediate recognition, and adequate surgical treatment are mandatory for their management.
Keywords
Abdominal Muscles/surgery, Adolescent, Adult, Aged, Aged, 80 and over, Blood Loss, Surgical/statistics & numerical data, Blood Transfusion/statistics & numerical data, Blood Vessels/injuries, Child, Female, Humans, Incidence, Intraoperative Complications/epidemiology, Laparoscopy/adverse effects, Laparoscopy/statistics & numerical data, Male, Middle Aged, Postoperative Hemorrhage/epidemiology, Prospective Studies, Reoperation/statistics & numerical data, Switzerland/epidemiology, Thoracoscopy/adverse effects, Thoracoscopy/statistics & numerical data
Pubmed
Web of science
Create date
11/12/2018 13:38
Last modification date
20/08/2019 15:39
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