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

Petroianu, Andy

doi:10.1007/s00595-009-4211-6

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…Electrocoagulation using lidocaine gel 2% in the bed bleeding after liver resection was irst described by Mattos Filho, et al in 2009 in rabbits [13] and reproduced by Petroianu in 2011 in humans [14]. Based in this principals we hypothetize that this kind of hemostasis will be suitable after enucleation of small renal tumors.…”

Section: Discussionmentioning

confidence: 82%

Electrocoagulation with greased lidocaine gel 2% as hemostatic maneuver after minimally invasive partial nephrectomy: Experimental and preliminary clinical results

Panico¹,

Simardi²,

Faria³

et al. 2020

Arch Cancer Sci Ther

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Methods: Experimental phase: Performed a partial nephrectomy off clamp in pig model followed by cauterization of lidocaine gel 2% with different power (control, 30W, 50W and 100W) in the kidney resection bed to evaluate efficacy and deep injury extension. Clinical phase: 20 patients submitted to laparoscopic or partial nephrectomy for low risk RENAL score were utilized greased lidocaine gel 2% with 50W in cautery scalpel to hemostasis of renal parenchima to validate efficacy and safety. Results: Experimental study shows that this technique is effective and promote better hemostasis with 50W and 100W, with deep injury of less than 3 mm. Clinical study confirm efficacy, good control of hemorrage, few complications and no transfusion. Minimal changes in hematocrit, haemoglobin and creatinine were observed. Conclusion: In this preliminary experience the use of this new alternative to hemostasis for low risk partial nephrectomy was satisfactory and with good intra and postoperative results. The best advantages were safety in terms of the depth thermal injury, low cost and absence of artifacts over the resection area observed at CT scan postoperatively.

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Section: Discussionmentioning

confidence: 82%

Electrocoagulation with greased lidocaine gel 2% as hemostatic maneuver after minimally invasive partial nephrectomy: Experimental and preliminary clinical results

Panico¹,

Simardi²,

Faria³

et al. 2020

Arch Cancer Sci Ther

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“…This work is part of an experimental research line related to trauma and hepatic operations [5][6][7][11][12][13][14][15][16][17][18] . Initially, this study was carried out on rats and rabbits, but results achieved on that preliminary step were inconclusive, due to the lack of specificity in hepatic sclerosis and necrosis because the livers were too small.…”

Section: ■ Discussionmentioning

confidence: 99%

“…Several methods have been described with the aim of reducing bleeding. Liver and vascular compression, arterial embolization, blood interruption by tapes or clamps, as well as previous intraparenchymal small vessels ligation and greasing the hepatic parenchyma with several different substances are well accepted procedures [1][2][3][4][5][6][7] . Another possibility is the intravascular and intraparenchymal injection of sclerosing substances that seal the small vessels, controlling a diffuse hemorrhage [8][9][10][11] .…”

Section: ■ Introductionmentioning

confidence: 99%

Intravascular and intraparenchymatous hepatic segmentary sclerosis

Diniz

Petroianu

2018

Acta Cir. Bras.

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Purpose: To evaluate the morphological effects of injected sclerosing agents into the liver. Methods: This study was performed on twenty dogs, distributed into five groups: Group 1 (n = 5)-control, Group 2 (n = 5)-injection of 50% glucose solution inside hepatic parenchyma and animals followed during seven days, Group 3 (n = 10)-injection of ethanol inside hepatic parenchyma and animals distribution into two subgroups Subgroup 3A (n = 5)-followed during 24 hours and subgroup 3B (n = 5)-followed during seven days (group 3B), Group 4 (n = 5)-ethanol injection inside left portal vein branch and followed during 24 hours. Livers were macroscopically evaluated, submitted to hepatic arteriography and portography, then histology. Results: All animals in Group 4 died within 23 hours due to diffuse hepatic necrosis. The animals of groups 2 and 3 had a satisfactory evolution. Fibrosis formed in the segment reached by the sclerosant solution and interruption of the contrast flow injected into the portal system. Conclusion: Intrahepatic parenchymal ethanol injection is well tolerated and causes sclerosis restricted to a specific segment; however, intraportal ethanol injection causes massive hepatic necrosis and can lead to death.

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“…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 [6]. However, electrocautery can deliver heat at a single temperature or range of temperatures, between 100°C and 1200°C.…”

Section: Discussionmentioning

confidence: 99%

Using NU-KNIT® for hemostasis around recurrent laryngeal nerve during transthoracic esophagectomy with lymphadenectomy for esophageal cancer

et al. 2014

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BackgroundWe thought that using electrocautery for hemostasis caused recurrent laryngeal nerve palsy. We reflected the prolonged use of electrocautery and employed NU-KNIT® to achieve hemostasis nearby the recurrent laryngeal nerve. We assessed that using NU-KNIT® hemostasis prevented or not postoperative recurrent laryngeal nerve palsy, retrospectively. The present study was evaluated to compare using electrocautery hemostasis with using NU-KNIT® hemostasis during lymphadenectomy along recurrent laryngeal nerve. The variables compared were morbidity rate of recurrent laryngeal nerve palsy, operation time, and blood loss.ResultsWe use NU-KNIT® to achieve hemostasis without strong compression. This group is named group N. On the other hand, we use electrocautery to achieve hemostasis. This group is named group E. Complication rate of recurrent laryngeal nerve palsy was higher in group E (55.6%) than group N (5.3%) (p = 0.007).ConclusionsEven hemostasis using NU-KNIT® was slightly more time-consuming than using electrocautery, we concluded that it would be useful to prevent recurrent laryngeal nerve palsy.

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

Cited by 5 publications

References 17 publications

Electrocoagulation with greased lidocaine gel 2% as hemostatic maneuver after minimally invasive partial nephrectomy: Experimental and preliminary clinical results

Electrocoagulation with greased lidocaine gel 2% as hemostatic maneuver after minimally invasive partial nephrectomy: Experimental and preliminary clinical results

Intravascular and intraparenchymatous hepatic segmentary sclerosis

Using NU-KNIT® for hemostasis around recurrent laryngeal nerve during transthoracic esophagectomy with lymphadenectomy for esophageal cancer

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