title: Use of Foley's catheter to control port-site bleeding in bariatric surgery.
abstract: Abdominal wall bleeding in the port-site 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 (7.5%) presented port-site bleeding that could not be controlled with electrocautery and Foley's catheter (24 F) was used for bleeding inhibition. Of the 17 patients, there were 12 females (70.6%) and five males (29.4%) with a mean age of 38.35 years. Mean body mass index (BMI) was 44.2. Most of bleeding port-sites were located in hypochondrium and were 12-mm size. After the catheter removal (median 36 h), bleeding did not recur in any case. There were no other complications related to the port-side bleeding and the Foley catheter placement. Hospital stay was not prolonged due to the use of the Foley catheter. Port-site bleeding in bariatric surgery is a frequent complication. In up to 7.5% of the cases, the haemorrhage cannot be controlled with electrocautery. Compression with Foley catheter balloon is a safe and efficient method to stop bleeding.
authors.affiliation: Department of Surgery, General University Hospital Elche, Elche, Alicante, Spain. jruiztovar@gmail.com
authors.forename: Jaime
authors.initials: J
authors.lastname: Ruiz-Tovar
authors.forename: Pablo
authors.initials: P
authors.lastname: Priego-Jimenez
authors.forename: Gabriel Alejandro
authors.initials: GA
authors.lastname: Paiva-Coronel
mesh_terms: D034861:Abdominal Wall / Q000473:pathology*; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects*; D015992:Body Mass Index; D002404:Catheterization / Q000295:instrumentation*; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications* / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000517:prevention & control / Q000628:therapy*; D016896:Treatment Outcome