DOI: 10.36347/sasjs

Pages: 189-195

The control of hemorrhage during abdominopelvic surgery represents a critical challenge that significantly impacts patient morbidity and mortality. This review aimed to synthesize the existing literature from September 2015 to July 2016 to evaluate strategies, innovations, and outcomes related to intraoperative bleeding control. A systematic search was conducted using PubMed, Embase, and Cochrane databases with terms including “abdominopelvic hemorrhage,” “surgical hemostasis,” “damage control surgery,” and “topical hemostatic agents.” Studies were included if they addressed surgical techniques, devices, or adjuncts for bleeding control in abdominal and pelvic operations. Thirty-eight peer-reviewed publications were identified and analyzed. Key findings included the evolution of topical hemostatic matrices, improved electrosurgical devices, and the adoption of damage control strategies in hemodynamically unstable patients. Several comparative studies demonstrated that adjunctive use of topical hemostatics reduced transfusion requirements, although variations existed in efficacy and cost. Emerging techniques, including resuscitative endovascular balloon occlusion of the aorta (REBOA), showed promising outcomes but were associated with unique risks and logistical considerations. Limitations of current literature included heterogeneous study designs and limited long-term outcome data. In conclusion, while substantial advances have improved hemorrhage control in abdominopelvic surgery, further high-quality trials are needed to standardize protocols and optimize patient safety.