Use of fibrin glue (Tissucol) as a hemostatic in laparoscopic conservative treatment of spleen trauma

Abstract

Laparoscopic management of spleen trauma can be used once a positive diagnosis has been made. It is useful for assessing the degree of splenic injury. A laparoscopic spleen-preserving procedure can be used safely for patients with stable vital data. It is an effective procedure for the evaluation and treatment of hemodynamically stable patients with splenic injuries for whom nonoperative treatment is controversial. The topical application of a fibrin sealant in splenic trauma achieves definitive hemostasis safely, rapidly, and reliably. It also is simple to use in either laparoscopic or open procedures.

Comparison of the hemostatic efficiency of Ankaferd Blood Stopper and fibrin glue on a liver laceration model in rats

“…Karaciğer ve dalak cerrahisinde kullanımının kanama kontrolündeki etkisi gösteril-miştir. [9][10][11][12][13] Ankaferd Blood Stopper ® (ABS) son yıllarda klinik kullanıma giren, bitkisel kökenli, topikal hemostatik ajandır. Hemostazı, kanama pıhtılaşma faktörle-rinden bağımsız olarak, enkapsüle protein ağı ile fokal eritrosit agregasyonunu sağlayarak gerçekleştirir.…”

“…Ameliyat süresinin kısalması için, kanamanın kontrolünde topikal hemostatiklerin kullanımı da cerraha avantaj sağlayabilir Günümüz-de Japonya'da topikal hemostatiklerin karaciğer cerrahisinde standart bir endikasyon olmadan kullanımı %60'a kadar çıkmıştır. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Bu ajanların seçiminde cerrahın tercihi kadar, hemostatik materyalin yapısı, kanamanın ciddiyeti, acil ya da elektif cerrahi yaklaşımlar gibi faktörler oynar. Fiyat, uygulama kolaylığı ve muhafaza edilme özellikleri de seçimi etkilemektedir.…”

Effectiveness and safety of CEUS-guided haemostatic injection for blunt splenic trauma: an animal experiment

“…Under the guidance of CEUS, radiofrequency ablation (RFA) and percutaneous microwave coagulation therapy (PMCT) have developed very quickly and made satisfied therapeutic effects in recent years [11,12]. Nowadays, haemostatic agents have been applied widely and successfully in stopping local blood loss, especially used in laparotomy and endoscope, such as Haemocoagulase Atrox for in injection, fibrin glue (FG) and alphacyanoacrylate, et al [13][14][15][16]. Haemocoagulase Atrox for in injection is a kind of enzyme and has coagulation and haemostasis effect.…”

Unusual complication after laparoscopic left nephrectomy for renal tumour: a case report

“…Haemodynamic stability of the patient, the surgeon's expertise, and availability of equipment all affect safety and feasibility and must be taken into consideration when making a decision [17,18]. In each clinical situation the surgeon must weigh the decision individually, with the help of circulatory parameters and CT scan imaging [19,20]. In conclusion, both acute and delayed splenic rupture demand a knowledgeable and skilled surgeon, who knows how to prevent subcapsular haematoma and splenic rupture in the first place, and how to deal with these complications when they arise.…”