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https://www.readbyqxmd.com/read/28880466/enhanced-hemostasis-with-a-sealant-consisting-of-hydrofit-and-surgicel
#1
Hikaru Ishii, Hidehito Endo, Hiroshi Tsuchiya, Hiroshi Kubota
Bleeding is a serious concern during surgery for acute aortic dissections. We have used Hydrofit and Surgicel together to achieve hemostasis at the graft anastomotic sites during replacement of the ascending aorta and aortic arch. Complete hemostasis was achieved without further need for any additional sutures.
September 2017: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/28857996/effect-of-suturation-plus-surgicel-application-on-post-tonsillectomy-bleeding-and-pain
#2
Hasan Cetiner, Ilker Cavusoglu, Sertac Duzer, Oner Sakallioglu, Nihat Susaman, Yavuz Sultan Selim Yildirim
OBJECTIVE: The aim of this study was to evaluate the effect of suturation (tonsillary fossa closure) plus Surgicel application on postoperative bleeding and pain after tonsillectomies performed using a classical dissection method. STUDY DESIGN: A prospective, randomized, double-blind, clinical trial was performed on 760 patients undergoing tonsillectomy or adenotonsillectomy during a 5-year period. METHODS: After excluding patients with hemorrhagic disorder, chronic disease, and peritonsillar abscess, both tonsils were removed via classic dissection technique (cold knife or blunt dissection) and then electrocauterized for hemostasis...
August 28, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28637109/closing-the-dura-dural-hitching-versus-surgicel-and-tisseel-overlay-graft-in-craniocervicaldecompression-for-chiari-1-malformation
#3
Michael Tonkins, Naeem Farooqi, Rohan Ahmed, Saurabh Sinha, Debapriya Bhattacharyya
BACKGROUND: This study compares dural hitching to surgicel and tisseel overlay graft following craniocervical decompression and C1 laminectomy with simple durotomy for Chiari I malformation. Outcome measures were syrinx decompression, headache resolution and complication rates. METHODS: A retrospective analysis of case notes was conducted. Patients who had undergone craniocervical decompression (CCD) were grouped by method of dural closure. Outcomes compared were rates of syrinx decompression, headache resolution, and post-operative complications...
March 2, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28606775/oxidized-regenerated-cellulose-fibrillar-reduces-risk-of-postoperative-corporal-bleeding-following-inflatable-penile-prosthesis-surgery
#4
Alexander T Rozanski, Boyd R Viers, Alexander G Liu, Nabeel A Shakir, Travis J Pagliara, Jeremy M Scott, Mary L West, Allen F Morey
OBJECTIVE: To report our initial experience with oxidized regenerated cellulose (ORC; Surgicel Fibrillar) as a hemostatic adjunct during inflatable penile prosthesis (IPP) surgery. MATERIALS AND METHODS: Beginning in April 2016, ORC pledgets were placed within the corporotomy closures of all men undergoing IPP insertion. Perioperative characteristics and outcomes including cumulative postoperative drain output were evaluated among consecutive cases with (April 2016 to October 2016) and without ORC (December 2015 to March 2016) using an identical surgical technique by a single surgeon...
June 9, 2017: Urology
https://www.readbyqxmd.com/read/28523092/management-of-a-life-threatening-bleeding-following-extraction-of-deciduous-second-molar-related-to-a-capillary-haemangioma
#5
REVIEW
Amr Amin Ghanem, Yasser Nabil El Hadidi
Various forms of vascular lesion affect the head and neck region. The head and neck vascular lesions are classified into neoplasms and malformations. Neoplasm presents either as hemangioma or lymphangioma; neoplasm usually presents in young age compared with vascular malformation. A 9-year-old female patient presented to the outpatient clinic referred from the department of pedodontics after extraction of a right mandibular second deciduous molar. Extraction was done by dental GP in outpatient clinic. Massive bleeding followed the extraction...
June 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28498268/transcanal-endoscopic-ear-surgery-for-excision-of-a-facial-nerve-venous-malformation-with-interposition-nerve-grafting-a-case-report
#6
Cameron C Wick, Mark Sakai, Timothy E Richardson, Brandon Isaacson
OBJECTIVE: To illustrate a novel approach for the surgical management of a venous malformation of the facial nerve, including interposition nerve grafting, via an exclusively transcanal endoscopic ear surgery (TEES) approach. PATIENT: Thirty nine-year-old woman with a preoperative House-Brackmann (HB) grade IV facial paresis secondary to a facial nerve tumor. INTERVENTION(S): Surgical excision and interposition nerve graft via a transcanal endoscopic approach...
July 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28483021/an-outbreak-of-surgical-site-infections-in-a-neurosurgical-ward
#7
Xia Mu, Huai Yang, Jianyi Wang
Objective To survey an outbreak of surgical site infections in a neurosurgery ward of a tertiary hospital. Methods The patients of surgical site infection were investigated individually based on a uniformly designed epidemiological survey form. The distribution of cases was analyzed by characteristic epidemiology,and a case-control study was carried to explore the risk factors. Results A total of 9 patients with surgical site infections from February 5 to March 7,2014 were identified in 68 patients who had received surgery in a neurosurgery ward,yielding a prevalence of 13...
April 20, 2017: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/28315796/ultrasound-assisted-neuronavigation-guided-removal-of-a-live-worm-in-cerebral-sparganosis
#8
Sunday Nkwerem, Tetsuya Goto, Toshihiro Ogiwara, Yasunaga Yamamoto, Kazuhiro Hongo, Samuel Ohaegbulam
BACKGROUND: Cerebral sparganosis is a rare zoonotic infestation that often mimics glioma and metastatic tumors. CASE DESCRIPTION: A 71-year-old man presented with disturbing dysarthria. Initial neuroimages were suggestive of glioma. However, the histology was suggestive of inflammatory lesion. Follow-up neuroimages and serology were suggestive of sparganosis. He subsequently had craniotomy with ultrasound-guided aspiration of a live worm. Saline-soaked Surgicel was used to provide an acoustic window...
June 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28197224/a-foreign-body-reaction-to-surgicel-%C3%A2-in-a-lymph-node-diagnosed-by-endobronchial-ultrasound-guided-transbronchial-needle-aspiration
#9
Diana Badenes, Lara Pijuan, Víctor Curull, Albert Sánchez-Font
Surgicel(®) (Ethicon, North Ryde, NSW, Australia) is an absorbable sheet of oxidized cellulose polyanhydroglucuronic acid polymer used as an hemostatic in cardiovascular and thoracic surgery. In some cases, the retained material may cause foreign body granulomatous reactions and simulate tumor recurrence, an abscess, an hematoma, or an infection. We report the case of a 55-year-old patient who was operated of a lung adenocarcinoma. In the thoracic computed tomography scan 1 year after the surgery, a right paratracheal lymph node was detected, so endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was performed suspecting recurrence of the tumor...
January 2017: Annals of Thoracic Medicine
https://www.readbyqxmd.com/read/28031654/aortic-root-rupture-during-transcatheter-aortic-valve-implantation-in-a-patient-with-idiopathic-thrombocytopenic-purpura-utility-of-transesophageal-echocardiography-in-early-detection-and-description-of-a-semiconservative-surgical-management-approach
#10
Jaya Chandrasekhar, Marc Ruel, Donna Nicholson, Marino Labinaz
An 87-year-old man with idiopathic thrombocytopenic purpura and platelet count of 56 × 10(9)/L underwent transesophageal echocardiography (TEE)-guided transcatheter aortic valve implantation using a femoral approach. Post valve deployment, a new pericardial effusion was noted which was successfully drained. Despite this, the patient became hypotensive needing vasopressor support with reaccumulation of pericardial fluid. Emergent sternotomy was performed and a perforation of the right ventricular apex was noted which was sealed with a pledgeted suture...
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/27943594/effects-of-quercetin-and-surgicel-for-preventing-adhesions-after-gynecological-surgery-a-rat-uterine-horn-model
#11
Gürhan Güney, Cihan Kaya, Gökhan Oto, Serkan Yıldırım, Hülya Özdemir, Aytekin Tokmak
AIM: Postoperative pelvic adhesions are significant health care problems causing chronic pelvic pain, infertility and intestinal obstruction after abdominal or pelvic surgery. We investigated the effects of quercetin and Surgicel for the prevention of adhesions after gynecological surgery. METHODS: A double blind, randomized, controlled experimental study was designed. Forty female Wistar Hannover rats were divided into five groups: control, sham operated, quercetin, Surgicel, and quercetin + Surgicel...
January 2017: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27873514/efficacy-of-oxidized-regenerated-cellulose-surgiguard%C3%A2-in-porcine-surgery
#12
Sung Hyun Kim, Se Hoon Kim, Hye Sung Yoon, Hyun Kyoon Kim, Kyung Sik Kim
PURPOSE: Adequate hemostasis is important for postoperative outcomes of abdominal surgery. This study evaluated the hemostatic effects and accompanying histopathological changes of a novel oxidized regenerated cellulose, SurgiGuard®, during abdominal surgery. MATERIALS AND METHODS: Ten pigs underwent wedge resection of the spleen (1×1 cm) and liver (1.5×1.5 cm). The resected surface was covered with Surgicel® fabric or fibril type (Group A) or SurgiGuard® fabric or fibril type (Group B)...
January 2017: Yonsei Medical Journal
https://www.readbyqxmd.com/read/27857919/multiple-intracranial-high-density-foci-after-brain-parenchymal-catheterization
#13
Tae-Min Choi, Kyu Yong Cho, Byung Chan Lim, Jun Seob Lim, Rae-Seop Lee
OBJECTIVE: To report an observational investigation of small high attenuated foci in computed tomography (CT) scan followed by brain parenchymal catheterization. METHODS: From January 2011 to March 2015, we retrospectively reviewed the 381 patients who had undergone brain catheterization in our clinic and enrolled the patients who had newly developed high attenuation foci in the postoperative CT scans. The brain CT scans were reviewed about the lesion location, Hounsfield Unit (HU) and the time of appearance...
October 2016: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/27857461/bolster-material-granuloma-masquerading-as-recurrent-renal-cell-carcinoma-following-partial-nephrectomy
#14
Abhishek Singh, Shrikant Jai, Sanika Ganpule, Arvind Ganpule
Nephron sparing surgery has seen a phenomenal rise in its application over the past few decades. The use of Surgicel and gel foam for closure of defect created after partial nephrectomy has become a routine practice at many centers. In this case report, we describe radiological artifact secondary to a surgical bolster mimicking a residual disease or an early recurrence in the kidney. This case highlights two facts; first, reapproximation of the renal tissue is best done without the use of Surgicel bolsters...
July 2016: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/27658949/magnetic-resonance-imaging-appearance-and-mechanism-of-action-of-five-hemostatic-agents-used-in-neurosurgery
#15
Cord M Brundage, Rebecca A Packer, Matthew D Jones
OBJECTIVE: To describe the magnetic resonance (MR) image appearance of 5 hemostatic agents placed in the brain, and to review their clinical application. STUDY DESIGN: Descriptive ex vivo and in vivo study. ANIMALS: Canine cadavers (n=4), client-owned dogs (n=4). METHODS: Heads from 4 canine cadavers were used, each with 5 hemostatic agents placed in specific locations in the brain. Hemostatic agents were used in their native form in 2 cadaveric brains, and in 2 others the materials were saturated with fresh whole blood prior to placement to mimic application in a field of active hemorrhage...
November 2016: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/27621746/efficacy-evaluation-of-surgiguard%C3%A2-in-partially-hepatectomized-pigs
#16
Sung Hyun Kim, Hye Sung Yoon, Chang Hoon In, Kyung Sik Kim
BACKGROUNDS/AIMS: This study evaluated the hemostatic effects of a novel oxidized regenerated cellulose, SurgiGuard®, during liver surgery, using a reproducible and clinically relevant animal model. METHODS: Fifteen mini-pigs underwent left partial hepatectomy. They were randomized to treatment of the resected surface with SurgiGuard® (Group C [test], n=5), Surgicel® (Group B [reference], n=5), or nothing (Group A [control], n=5). Blood loss was measured 5, 7 and 9 min after resection...
August 2016: Korean Journal of Hepato-biliary-pancreatic Surgery
https://www.readbyqxmd.com/read/27619561/seed-migration-to-the-spinal-canal-after-postresection-brachytherapy-to-treat-a-large-brain-metastasis
#17
Cole B Hirschfeld, Theodore H Schwartz, Bhupesh Parashar, A Gabriella Wernicke
PURPOSE: Seed migration after interstitial prostate brachytherapy has been well documented in the literature. However, there have been no detailed reports of seed migration after permanent interstitial brachytherapy to treat cerebral malignancies. In this article, the authors report a rare case of seed migration after adjuvant cesium-131 ((131)Cs) brachytherapy was used to treat a large paraventricular brain metastasis. METHODS AND MATERIALS: The patient was a 63-year-old man with a 5...
September 2016: Brachytherapy
https://www.readbyqxmd.com/read/27572274/the-use-of-haemostatic-agents-does-not-impact-the-rate-of-hemorrhagic-complications-in-patients-undergoing-partial-nephrectomy-for-renal-masses
#18
Yasmin Abu-Ghanem, Zohar Dotan, Issac Kaver, Dorit E Zilberman, Jacob Ramon
Hemostatic agents(HAs) have gained increasing popularity as interventions to improve perioperative haemostasis and diminish the need for allogeneic red cell transfusion(PBT) despite a paucity of data supporting the practice. The aim of the current study is to examine the efficacy of HAs in reducing the rate of hemorrhagic complications during partial nephrectomy(PN). Data on 657 patients, who underwent elective PN between 2004-2013, were analyzed. The impact of HAs and SURGICEL was evaluated by comparing four sequential groups of patients: Group1 = Sutures alone, Group2 = sutures and HA, Group3 = sutures and SURGICEL, Group4 = both HA and SURGICEL...
2016: Scientific Reports
https://www.readbyqxmd.com/read/27468609/comparison-tachocomb-with-surgiwrap-surgicel-and-lyodura-in-epidural-fibrosis-an-experimental-rat-model
#19
COMPARATIVE STUDY
Huseyin Karasu, Işil Güzel
OBJECTIVES: We designed this study to evaluate the effect of TachoComb and to compare it with SurgiWrap, Surgicel, and Lyodura in an experimental rat model for epidural fibrosis (EF). METHODS: This prospective and experimental rat model study was performed at Dicle University, School of Medicine, Department of Neurosurgery, in Diyarbakir, Turkey, between January 2005 and June 2005, using 50 Sprague Dawley rats (30 female and 20 male) with a mean weight of 290 g...
March 30, 2016: Ideggyógyászati Szemle
https://www.readbyqxmd.com/read/27446398/surgicel-%C3%A2-granuloma-mimicking-ovarian-cancer-a-case-report
#20
Luigi Cormio, Gennaro Cormio, Giuseppe Di Fino, Carmen Scavone, Francesca Sanguedolce, Vera Loizzi, Giuseppe Carrieri
Surgicel(®) is an absorbable sterile mesh composed of oxidized cellulose that is used to control intraoperative capillary or venous bleeding, due to its capacity to bind hemoglobin, thus allowing the formation of an artificial clot. In the present study, a large granuloma mimicking ovarian cancer, which developed following placement of a Surgicel(®) sponge during a combined pubovaginal sling procedure and cystocele repair, is reported. The aim of the present case report is to emphasize the fact that hemostatic measures should be removed following their use, and to alert surgeons to the risk of using and leaving in situ oxidized cellulose...
August 2016: Oncology Letters
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