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482 Minimally invasive bleeding management during pelvic lymphadenectomy
  1. R Ribeiro,
  2. B Real,
  3. R Lyria,
  4. A Munhoz,
  5. A Tsunoda and
  6. J Guerreiro
  1. Hospital Erasto Gaertner, Brazil


Introduction Bleeding is certainly one of the most common complications in minimally invasive surgery for gynecologic cancer, specially during the pelvic lymphadenectomy. To master bleeding control is mandatory to all surgeons performing such procedures. The objective of these video is to demonstrate bleeding management alternatives during minimally invasive pelvic lymphadenectomy.

Method We present a video demonstrating the basic and advanced principles of bleeding control, during pelvic lymphadenectomy.

Results The first part of the video presents the basic principles of bleeding management including, compression, anatomy knowledge, proximal and distal dissection, and bipolar coagulation along surgical field control. The second part is focused in different techniques as clipping suturing.

Conclusion Bleeding management using minimally invasive surgery is feasible. All surgeons have to master several different strategies to achieve bleeding control avoiding unnecessary conversion to open surgery.

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