Management of Harmonic Scalpel Injuries During Laparoscopy

Immediate Recognition and Assessment

• Establish large-bore IV access and initiate fluid resuscitation for hemodynamically unstable patients with active bleeding, according to Anaesthesia guidelines 1

Hemodynamic Status Determines Management Pathway

• Never delay conversion to laparotomy when facing uncontrolled bleeding, as every delay increases mortality risk, as stated by Anaesthesia 1, 2

Postoperative Monitoring

• Serial hemoglobin measurements are mandatory to detect occult bleeding, as recommended by Praxis Medical Insights 3