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Peritoneal lavage: a simple tool to prevent bleeding during and after laparoscopic cholecystectomy

Authors Schembari E, Bortolussi C, Coco O, Teodoro M, Mattone E, Palumbo V, Magazù S, Di Carlo I

Received 12 May 2019

Accepted for publication 7 August 2019

Published 19 August 2019 Volume 2019:10 Pages 279—281

DOI https://doi.org/10.2147/JBM.S215438

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Martin Bluth


Elena Schembari, Carlo Bortolussi, Ornella Coco, Michele Teodoro, Edoardo Mattone, Valentina Palumbo, Sarita Magazù, Isidoro Di Carlo

Department of Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Cannizzaro Hospital, Catania 95126, Italy

Correspondence: Isidoro Di Carlo
Department of Surgical Sciences and Advanced Technologies “GF Ingrassia”, University of Catania, Cannizzaro Hospital, Via Messina 829, Catania 95126, Italy
Tel +39 095 726 4863
Fax +39 095 726 3020
Email idicarlo@unict.it

Abstract: Bleeding remains one of the most serious complications of laparoscopic cholecystectomy and can increase mortality. Even if several patient-related and intraoperative factors increase the risk of bleeding, complete hemostasis should be achieved at the end of each surgical procedure. Although irrigation is a standard step, its importance is often underestimated. This commentary highlights the efficacy of peritoneal lavage in identifying bleeding sources and the effect of saline temperature.

Keywords: bleeding, prevention, cholecystectomy, peritoneal lavage

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