[Saving surgical time with great hemostatic safety and efficiency using the LIGA-SURE system in complete pelvic urologic surgery].
OBJECTIVE
To achieve an effective, safe and fast hemostasis. To translate it into a great diminution of operating time, avoiding multiple ligatures that are time consuming and being merely a mechanical, repetitive act do not add any element of quality to surgery in general and to urologic pelvic procedures in particular.


METHODS
A new hemostatic system has been experimented in pelvic urologic open surgery, specifically in radical cystectomy (RC) (with orthotopic substitution or urinary diversion) and radical prostatectomy (RP). It achieves vascular sealing by means of tissue collagen precipitation when applied in previously dissected vascular pedicles during radical cystectomy and neuro-vascular bundles during radical prostatectomy.


RESULTS
It has been noted a complete efficacy in the coagulation of all vascular pedicles as well as a significant decrease in operating time (around 25%) because the use of ligatures is completely avoided. It has also been noted a great decrease in blood loss, with reductions in transfusion needs down to 50% of the cases.


CONCLUSIONS
The new hemostatic system by tissue collagen coagulation allows a fast, effective and safe hemostasis in complex urological pelvic surgery, which translates into operative time savings and minimal blood loss.
Gelabert Mas
Antoni
A
Servicio y Cátedra de Urología, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, España.
Bielsa Galí
Oscar
O
D000230:Adenocarcinoma / Q000601:surgery; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002295:Carcinoma, Transitional Cell / Q000601:surgery; D015653:Cystectomy; D004564:Electrocoagulation / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007432:Intraoperative Period; D008297:Male; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery; D012449:Safety; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion