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Clinical Experience with the Surgicel Family of Absorbable Hemostats in Neurosurgical Applications

2016-05-23 / Categories:hemostatic dressing, bandage,
  
Other companies have released similar products(More hemostatic Bandages information at Greenovo), with all indicated for adjunctive use in surgical procedures to assist in the control of capillary, venous, and small arterial hemorrhage when ligation or conventional methods to control bleeding are impractical or ineffective.2 The purpose of this review is to discuss the neurosurgical applications of Original Surgicel.

Methods

The authors undertook a literature review in PubMed using the search string (oxidized[Title/Abstract] AND cellulose[Title/Abstract] AND surgery[Title/Abstract]) AND (“humans”[MeSH Terms] AND English[lang]), which yielded 83 articles. These articles and their references were screened for relevance. Additionally, articles previously published by the authors deemed relevant were included. Textbooks which were particularly relevant are referenced.

Result

Product characteristics. Product A is a flexible(Endovascular Treatment of Renal Artery Stenoses), sheerweave fabric prepared by the controlled oxidation of regenerated cellulose.3 Because it is flexible, it conforms to irregular surfaces, making it ideal for use during a wide variety of surgical procedures. The sheer weave also allows visualization of the bleeding site. It can be cut or folded to fit the bleeding site and can be removed with gentle irrigation after hemostasis is achieved. Product B is also oxidized regenerated cellulose; however, the fabric is very loosely woven, having a consistency and adherence properties similar to those of cotton.1,3 It has a lightweight fibril structure that conforms to irregular surfaces and hard-to-reach areas, and layers can be peeled off in desired amounts to fit the wound surface. A significant benefit of both Products A and B are their ability to coagulate even when saturated with blood. Cautery and suction can be performed directly through the material. This is especially helpful in cases of venous or cortical oozing, or when used to help identify a bleeding point where coagulation can be achieved with Product B held in place with a Fukushima-type sucker.