A comparison of the haemostatic effect of Vivostat® patient-derived fibrin sealant with oxidised cellulose (Surgicel®) in multiple surgical procedures

被引:46
作者
Hanks, JB
Kjaergard, HK
Hollingsbee, DA
机构
[1] Univ Virginia Hlth Syst, Dept Surg, Charlottesville, VA USA
[2] Gentofte Univ Hosp, Dept Cardiothorac Surg, Hellerup, Denmark
[3] ConvaTec Ltd, Deeside, Clwyd, Wales
关键词
fibrin sealant; oxidised cellulose; haemostat; surgery;
D O I
10.1159/000072229
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aim:To evaluate the haemostatic properties of Vivostat(R) patient-derived fibrin sealant in a broad range of surgical procedures. Method. In a prospective, randomised, multicentre, clinical study, typical surgical wounds of 69 patients (cardiothoracic, general, obstetric and gynaecologic, and vascular), requiring intervention to control bleeding, were treated with either Vivostat-derived sealant (n = 35) or Surgicel(R) (n = 34) as required and the time taken to arrest bleeding was assessed. Results: Compared with Surgicel, the mean time to haemostasis of Vivostat-derived sealant was significantly shorter (1.6 vs. 3.3 min, p < 0.0001) and more patients were successfully treated (i.e. no additional haemostatic measures required; 94 vs. 65%, p = 0.003). Conclusion: Vivostat-derived sealant is a more reliable and rapidly effective surgical haemostat than Surgicel. Copyright (C) 2003 S. Karger AG, Basel.
引用
收藏
页码:439 / 444
页数:6
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