Gelatin sealing sheet for arterial hemostasis and anti-adhesion in vascular surgery: A dog model study

Abstract

BACKGROUND: The bilayer gelatin sealing sheet was developed as a safe, effective, easy-to-handle and low-cost hemostatic agent. OBJECTIVE: To examine the feasibility of gelatin sealing sheets using a canine arterial hemorrhage model. METHODS:In vivo degradation of gelatin sealing sheets was examined by implanting subcutaneously in rats. For the hemostatic and anti-adhesion efficacy investigations, femoral arteries of dogs were pricked with syringe needle to make a small hole and a gelatin (i.e. experimental group) or fibrin glue sealing sheet (i.e. control group) was applied on the hole to stop bleeding (n = 8). After discontinuation of the bleeding, the skin incisions were closed and re-examined 4 weeks postoperatively. RESULTS: From the degradation study, 4 h thermally treated gelatin sheet which degraded within 3 weeks in vivo was chosen for the further hemostatic study. In all cases of gelatin and fibrin glue sealing sheets, bleeding from the needle hole on canine femoral arteries was effectively stopped. Postoperative adhesions and inflammation at the site in the experimental group were significantly less than those in the control group (P < 0.01 for adhesion scores). CONCLUSIONS: The gelatin sealing sheet was found to be as effective as the fibrin glue sealing sheet as a surgical hemostatic agent, and more effective in preventing postoperative adhesions.

In vitro Evaluation of Performance Properties of Sponge Hemostatic Dressings (Review)

“…Improper storage conditions or quality of reagents can considerably affect the end properties of implants, their effectiveness potentiate tissue reaction of the macroorganism and therefore reduce biological inactivity of the material. The present of “extra” (“ballast”) substances can lead to the development of paradox allergic reactions, or formation of teratogen and oncogene properties of hemostatic dressings [ 79 , 80 ].…”