Marshall L Stoller

Department of Urology, University of California San Francisco, San Francisco, California, U.S.A.

INTRODUCTION

Laparoscopic Nephrectomy

HEMOSTASIS

Laparoscopic Partial Nephrectomy

Vascular Factors

Retroperitoneal Lymph-Node Dissection

Platelets

Ureteral Anastomosis, Pyeloplasty, and

Plasma

Prostatectomy

TOPICAL BIOLOGIC AGENTS:

Laparoscopic Injuries

PHARMACOLOGIC

POTENTIAL COMPLICATIONS

Fibrin Sealant

Allergic

Fibrin-Sealant Variant

Infectious

Gelatin Matrix and Thrombin

TOPICAL SYNTHETIC AGENTS

Thrombin and Gelatin

Cyanoacrylate Sealants

TOPICAL BIOLOGIC AGENTS: PHYSICAL

Hydrogels (Polyethylene Glycol Polymers)

Microfibrillar Collagen

CONCLUSIONS

Oxidized Cellulose

SUMMARY

Gelatin

REFERENCES

UROLOGIC LAPAROSCOPIC APPLICATIONS

The use of bioadhesive technology in laparoscopic urologic surgery dates back to the mid-1990s; however, Bergel first used dry plasma to establish hemostasis in 1909.

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