Hemostasia hepática utilizando eletrocautério seco ou emplastrado com lidocaína ou neomicina ou glicerina ou vaselina, em coelho

Filho, Argos Soares de Matos; Petroianu, Andy; Alberti, Luiz Ronaldo; Vidigal, Paula Vieira Teixeira; Reis, Daniel Cruz Ferreira dos; Souza, Davi Machado de

doi:10.1590/s0100-69912009000500014

Cited by 5 publications

(2 citation statements)

References 17 publications

(19 reference statements)

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“…To obtain effective hemostasis from traumatic or surgical lesions of parenchymal viscera, especially the liver, has always been a challenge 11 , 12 , 15 . The possibility of use of different substances leaded to the production of collagen and lower inflammatory reaction, when compared with conventional sutures 2 , 4 , 5 , 10 …”

Section: Introductionmentioning

confidence: 99%

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Comparative Analysis of Surgical Hemostatic Sponges in Liver Injury: Study in Rats

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Mardegam

Prado-Filho

et al. 2018

ABCD, arq. bras. cir. dig.

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BackgroundObtaining effective hemostasis either in the traumatic or surgical lesions of parenchymal viscera, especially the liver, has always been a challenge. Aim: Comparative study between the use of different hemostatic sponges in hepatic wound and their capacity of integration to cells in a short period. Methods: Fifteen Wistar rats were divided into three groups. Through laparotomy a standardized wound in hepatic right lobe was made. The animals were treated with three sponges, being gelatin in group I, equine collagen in group II, and oxidized cellulose in group III. The hemostatic capacity was analysed. On the 7º day after surgery samples for histology analysis (H&E and picrosirius) were collected for inﬂammatory evaluation and collagen quantification (types I and III) with polarized microscopy. Results: All materials used had similar haemostatic effects, with no significant difference in hemostasis time. In the assessment of tissue repair and adhesions provoked, as well as analysis of the inflammatory process, the gelatin sponge presented greater inflammation and adhesions to the contiguous structures to the procedure in relation to the other groups. Conclusion: Animals which had their wounds treated with collagen and regenerated cellulose sponges presented better results in relationship to the ones treated with gelatin sponge.

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Section: Introductionmentioning

confidence: 99%

“…In the search for hemostasis of hepatic lesions, in addition to adhesives and materials already known, other studies are available, using gel-filled electrocautery 10 and fibrin sealants, which have different degrees of adhesion and abscess formation 3 .…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of Surgical Hemostatic Sponges in Liver Injury: Study in Rats

Fontes

Mardegam

Prado-Filho

et al. 2018

ABCD, arq. bras. cir. dig.

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Hemostasis of the liver, spleen, and bone achieved by electrocautery greased with lidocaine gel

Petroianu

2011

Surg Today

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Despite advances in surgical techniques, achieving hemostasis of the liver, spleen, and bone during major surgery, especially after trauma, is still difficult. I describe a new procedure my colleagues and I devised to achieve parenchymatous hemostasis using electrocautery greased with lidocaine gel. After achieving good results in experimental studies and obtaining approval from our ethics committee, we used electrocautery greased with lidocaine gel for hemostasis in the following 36 procedures: multisegmental hepatectomy to remove hepatic tumors (n = 6); partial hepatectomy to allow hepatojejunostomy for intrahepatic biliary obstruction (n = 10); laparoscopic liver biopsy (n = 4); subtotal splenectomy (n = 8; for portal hypertension in 5 patients, splenic ischemia in 2, and Gaucher's disease in 1); laparoscopic splenic biopsy (n = 1); and bone resection (n = 7; as pelvic-femoral resection in 6 patients and to remove a rectal tumor invading the coccyx in 1). This procedure was easy to perform and achieved complete hemostasis of the minor blood vessels in all patients. No postoperative bleeding occurred and the follow-up course was satisfactory. Electrocautery greased with lidocaine gel is an inexpensive, readily available, and efficient method to achieve hemostasis of minor vessels in hepatic, splenic, and bone operations.

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Hemostatic effects of FmocF-ADP hydrogel consisted of Fmoc-Phenylalanine and ADP

et al. 2023

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Hemostasia hepática utilizando eletrocautério seco ou emplastrado com lidocaína ou neomicina ou glicerina ou vaselina, em coelho

Abstract: The electrocautery coated with lidocaine gel and glycerine lotion were the most effective methods for the hemostasis of hepatic parenchyma.

Cited by 5 publications

References 17 publications

Comparative Analysis of Surgical Hemostatic Sponges in Liver Injury: Study in Rats

Comparative Analysis of Surgical Hemostatic Sponges in Liver Injury: Study in Rats

Hemostasis of the liver, spleen, and bone achieved by electrocautery greased with lidocaine gel

Hemostatic effects of FmocF-ADP hydrogel consisted of Fmoc-Phenylalanine and ADP

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