01: Maintaining and Reclaiming Hemostasis in Laparoscopic Surgery

The objectives of this video are to describe common anatomic and pathologic challenges for achieving hemostasis, to outline the strategies for laparoscopic dissection to prevent bleeding and to deconstruct the process of regaining hemostasis when brisk bleeding occurs. In this video the relationship between dissection and hemostasis is explored. The authors outline concrete strategies to achieve hemostasis including principles of sharp and blunt dissection, hemostasis vigilance and how to respond to active bleeding. Throughout the video the authors emphasize how to optimize surgical technique, exposure, and anatomy to maintain safety. By following the principles suggested in this video, surgeons can confidently use energy to dissect and coagulate, bluntly dissect to create space and regain hemostasis when vessels bleed. Hemostasis and dissection are both critical for safe, precise surgery.