Surgicel for microvascular decompression of the trigeminal nerve

Menovsky, Tomas; Bosshart, Salome Lou; Lukes, Anton

doi:10.1007/s13760-014-0424-6

Cited by 3 publications

(3 citation statements)

References 14 publications

(14 reference statements)

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“…[20,21] In addition, ORCP swells after application and could produce pressure on the site of rectal bleeding. [22] Therefore, rectal bleeding frequency after prostate biopsy decreased in Group II.…”

Section: Discussionmentioning

confidence: 99%

Hemostatic effect and psychological impact of an oxidized regenerated cellulose patch after transrectal ultrasound-guided prostate biopsy

et al. 2019

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To investigate the usefulness of the oxidized regenerated cellulose patch (ORCP) for postbiopsy hemostasis, anxiety, and depression in patients undergoing transrectal ultrasound-guided prostate biopsy. This was a prospective-retrospective study of 300 patients who underwent systematic 12-core prostate biopsy from August 2016 through March 2018. The ORCP was inserted into the rectum immediately after prostate biopsy in the prospective group (n = 150), while the retrospective group (n = 150) underwent prostate biopsy alone. The frequency rate and duration of hematuria, rectal bleeding, and hematospermia were compared between the 2 groups. Anxiety and depression were assessed with the hospital anxiety and depression scale before and after prostate biopsy in the prospective group. The frequency rates of hematuria and hematospermia showed no significant differences between the prospective versus retrospective groups (64.7% vs 66.7%, P = .881; 18 vs 20%, P = .718; respectively). Frequency of rectal bleeding was significantly lower in the prospective group than in the retrospective group (26.7% vs 42.7%, P = .018). However, there were no significant differences in median duration of rectal bleeding, hematuria, or hematospermia between the 2 groups (2, 5, and 2 days vs 2, 7, and 1 day, P > .05, respectively, for the prospective vs retrospective group). Multivariate analysis found that ORCP insertion was a significant protective factor against postbiopsy rectal bleeding ( P = .038, odds ratio 0.52). Only anxiety level in the prospective group before versus after prostate biopsy was significantly reduced (5 vs 4, P = .011). ORCP insertion after prostate biopsy is an effective and simple method for decreasing rectal bleeding. ORCP insertion may also alleviate anxiety in patients undergoing prostate biopsy.

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Section: Discussionmentioning

confidence: 99%

Hemostatic effect and psychological impact of an oxidized regenerated cellulose patch after transrectal ultrasound-guided prostate biopsy

et al. 2019

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“…As mentioned before, so-called textilomas have been described after application of ORC. They showed a tissue reaction with accompanying phagocytic involvement and could have a damaging effect on neuronal structures [ 12 , 14 , 23 , 24 , 25 ]. Therefore, analysis of microglia reaction might be a useful parameter in context of ORC mediated neuronal injury [ 26 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

Variants of Oxidized Regenerated Cellulose and Their Distinct Effects on Neuronal Tissue

Kleine

Leisz

Ghadban

et al. 2021

IJMS

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Based on oxidized regenerated cellulose (ORC), several hemostyptic materials, such as Tabotamp®, Equicel® and Equitamp®, have been developed to approach challenging hemostasis in neurosurgery. The present study compares ORC that differ in terms of compositions and properties, regarding their structure, solubility, pH values and effects on neuronal tissue. Cytotoxicity was detected via DNA-binding fluorescence dye in Schwann cells, astrocytes, and neuronal cells. Additionally, organotypic hippocampal slice cultures (OHSC) were analyzed, using propidium iodide, hematoxylin-eosin, and isolectin B4 staining to investigate the cellular damage, cytoarchitecture, and microglia activation. Whereas Equicel® led to a neutral pH, Tabotamp® (pH 2.8) and Equitamp® (pH 4.8) caused a significant reduction of pH (p < 0.001). Equicel® and Tabotamp® increased cytotoxicity significantly in several cell lines (p < 0.01). On OHSC, Tabotamp® and Equicel® led to a stronger and deeper damage to the neuronal tissue than Equitamp® or gauze (p < 0.01). Equicel® increased strongly the number of microglia cells after 24 h (p < 0.001). Microglia cells were not detectable after Tabotamp® treatment, presumably due to an artifact caused by strong pH reduction. In summary, our data imply the use of Equicel®, Tabotamp® or Equitamp® for specific applications in distinct clinical settings depending on their localization or tissue properties.

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“…3 4 5 Others have described the use of Surgicel and fibrin glue for MVD; 2 however, we do not endorse the use of Surgicel due to the excessive amount needed for it to act as an adequate interposition, swelling, its absorbable nature, and the low pH irritating nerve structures. 6 This can lead to excessive scar formation and increase the risk of recurrence. When symptoms recur, patients may need redo surgery and the recurrence of symptoms is likely caused by granulation and scarring.…”

mentioning

confidence: 99%

Fenestrated Aneurysm Clip Trigeminal Decompression after CyberKnife Treatment Failure

Vanloon,

Verbraeken,

Remacle

et al. 2024

J Neurol Surg B Skull Base

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Surgicel for microvascular decompression of the trigeminal nerve

Cited by 3 publications

References 14 publications

Hemostatic effect and psychological impact of an oxidized regenerated cellulose patch after transrectal ultrasound-guided prostate biopsy

Hemostatic effect and psychological impact of an oxidized regenerated cellulose patch after transrectal ultrasound-guided prostate biopsy

Variants of Oxidized Regenerated Cellulose and Their Distinct Effects on Neuronal Tissue

Fenestrated Aneurysm Clip Trigeminal Decompression after CyberKnife Treatment Failure

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