M Scheyer1, G Zimmermann. 1. Department of Surgery, Country Hospital, Carinagasse 47, A-6807 Feldkirch, Austria.
Abstract
BACKGROUND: Diffuse bleeding from parenchymatous organs or bleeding of the lung both in conventional and endoscopic surgery has to this day been treated with the usual methods - coagulation, tamponade, or oversewing. METHODS: With the development by the pharmaceutical industry of a collagen fleece coated with fibrin glue (Tachocomb), an additional method of hemostasis became available. RESULTS: The positive results obtained with the fibrin-coated collagen fleece in conventional surgery encouraged us to employ it when performing endoscopic operations. Especially with laparoscopic cholecystectomies, but also in other endoscopic operations, the application of Tachocomb has proved very successful. Nevertheless, the method of applying Tachocomb was not adequate, and limited its use, which made it necessary for us to develop an application system for endoscopic use. CONCLUSIONS: The application system, which consists of a fan as the Tachocomb carrier and a mounting support, worked well during the first tests. In order to confirm this, clinical studies will now be carried out.
BACKGROUND: Diffuse bleeding from parenchymatous organs or bleeding of the lung both in conventional and endoscopic surgery has to this day been treated with the usual methods - coagulation, tamponade, or oversewing. METHODS: With the development by the pharmaceutical industry of a collagen fleece coated with fibrin glue (Tachocomb), an additional method of hemostasis became available. RESULTS: The positive results obtained with the fibrin-coated collagen fleece in conventional surgery encouraged us to employ it when performing endoscopic operations. Especially with laparoscopic cholecystectomies, but also in other endoscopic operations, the application of Tachocomb has proved very successful. Nevertheless, the method of applying Tachocomb was not adequate, and limited its use, which made it necessary for us to develop an application system for endoscopic use. CONCLUSIONS: The application system, which consists of a fan as the Tachocomb carrier and a mounting support, worked well during the first tests. In order to confirm this, clinical studies will now be carried out.
Authors: DaShawn A Hickman; Christa L Pawlowski; Ujjal D S Sekhon; Joyann Marks; Anirban Sen Gupta Journal: Adv Mater Date: 2017-11-22 Impact factor: 30.849