Authors: Jaime RuizTovar Pablo PriegoJimenez Gabriel Alejandro PaivaCoronel
Publish Date: 2011/12/12
Volume: 22, Issue: 2, Pages: 306-308
Abstract
Abdominal wall bleeding in the portsite insertion placed during laparoscopic bariatric surgery is often difficult to control From January 2005 to August 2011 226 patients underwent bariatric surgery at our institutions Seventeen patients 75 presented portsite bleeding that could not be controlled with electrocautery and Foleys catheter 24 F was used for bleeding inhibition Of the 17 patients there were 12 females 706 and five males 294 with a mean age of 3835 years Mean body mass index BMI was 442 Most of bleeding portsites were located in hypochondrium and were 12mm size After the catheter removal median 36 h bleeding did not recur in any case There were no other complications related to the portside bleeding and the Foley catheter placement Hospital stay was not prolonged due to the use of the Foley catheter Portsite bleeding in bariatric surgery is a frequent complication In up to 75 of the cases the haemorrhage cannot be controlled with electrocautery Compression with Foley catheter balloon is a safe and efficient method to stop bleeding
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