Technical Editorial Hemostats, Adhesives, and sealants in
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Technical Editorial Hemostats, Adhesives, and sealants in
JOURNALOF LAPAROENDOSCOPIC & ADVANCEDSURGICAL TECHNTQUES Volume12,Number5, 2002 @ MaryAnn Lieber.t. lnc. TechnicalEditorial Hemostats, Adhesives, andsealants in Endoscopic Surgery yEARs, theuseof adhesives, hemostats, and otherhand,theproducts havebeenextensively usedin fN rnELASr lsealants has becomemore popularin endoscopicopensurgeryand are usefulin the appropriate setting. surgery.Althoughtheseproducts havemanyfeatures in Thegrowingnumberof availableproducts showsthat, common,they areintended accordingto the medicaldevicesindustry,a hugemarfor differentindications: ketisavailnble. Thesuryical community shouldcarefully t. Hemostats areusedto haltbleeding, Theycanbeapevaluate these products in endoscopic beforeussur€ery plieddirectlyto a bleedingsiteandworkin thepresing themasa sterndard treatment. enceof activelyflowingblood. 2. Glues/adhesives areusedto attachorgans,sttuctrtres, or tissues.Theycanbe appliedto rcduceor replace REFERENCES sufures. 3. Sealantsare usedto preventthe leakageof liquids, l. Canby-Hagino ED, MoreyAF, JatoiI, PemhiaB, Bishoff gases, or solids.Theycanbeappliedto dryor clamped IT. Fibrinsealanttrcatmentol splenicinjury duringopen tissuesurfacesto createa barier, andlaparoscopic left rodicalnephrectomy. J Urol 2000: 164:2004-2005. Theseproductscanbe classitiedasfibrin-based, non2. ChenU, FangJF,Lin BC, et al, Selective of application fibrin biologic,andsyntheticproducts. Thetibrin-based laparoscopy andfibrin gluein the failureof nonoperative productsare mostcommonlyused.Mostfibrin sealants management of blunt hepatictrauma.J Trauma1998:44: containfibrinogen,fromhumanblood;bovinethrombin, 691-69s. products; available obtainedfrom commercially andfac- 3. Cuschieri pancreatic SA,Jakimowicz JJ.Laparoscopic retor XIII, alsoobtainedfrompooledhumanblood,In the sections. 168-179. SeminLaparosc Surg1998;5: F, Schneider MA, Hohenberger W. C, Reymond 1970s,fibrinogenproducts werefoundto tlansferhuman 4. Kockerling cholecystectoruy: ContLolling cornplications in laparoscopic Food Drug Adminhepatitis, the U.S, and Subsequently, in theliverparenchyma Diffusepurenchynra henrorrhnge [in istrationcanceledall licensesfol humanfibrinogen.In Zentralbl Chir 1997; 122:405-408. Germanl, world, etnmanufacturers Europe,as in the restof the F, R, E, ployedmethodsto reducetheriskfor thetransmission of 5. TricaricoA, TartagliaA, Taddeo Sessa Sessa treatment of spleeninjuries. MinelliS. Videolaparoscopic Sincethat time,manufachepatitisand otherdiseases. Reportoftwo cases. SurgEndosc1994;8:910-912. theviruswhile 6. Faranda turcrshavebeenattempting to inactivate JM, Champault GG.TwoC, Barat C, Catheline allowingthe productto retainthe fibrin in its original peritonitis of generalized nranagement stagelapaloscopic state.This is alsothe reasonwhy attemptshavebeen Eighteen cases. sigrnoid diverticula: Surg dueto perforated productsin which Tech2000;10:135-138; madeto developmoresophisticated Percutan discusLaparosc Endosc sion139-141. fibrin sealant fromthepatient'sownblood an autologous A, Sutureless GG,LebharE, Sezeur of biologicori- 7. BenoitJ, Champault is used.Also usedarenonfibdnproducts duodenalulcer.Br J of perforated treatment gin andsyntheticproductslike thecyanoacrylate-based laparoscopic Surg1993;80:1212. srrperglues. A. M, FuadM, SafarH, DashtiH, Behbehani 8. Klroursheed in theliteratureareitemoThe indicationsdescribed Laparoscopic closureof perforatedduodenalulcer.Surg of liver,kidney, bleeding stasisin casesof parenchymal 2000;i4:56-58. Endosc gastric anastomosis,6 intestinal pancreas, anclspleen,l-5 9. LauWY,LeungKL, ZhuXL, LamYH,ChungSC,Li AK. and ulcers,T-llNissenfundoplication,lz and cluodenal repairof perforatedpepticulcer.Br J Surg Laparoscopic meshfixation.13'la 16. 1995;82:814-8 studiesof thelap- 10. LeeFY, LeungKL, Lai BS, Ng SS,DexterS, LauWY. Althoughonly a few randomized on mortalityandmorbidityof patientsoperated Predicting aroscopicindicationsfor surgicalglueshavebeenperpepticulcers.Arch Surg2001;136:90-94, perforated for studiesindicatethat tbrmed,ll a coupleof expedmental of patients On the i 1. LeeFY,LeungKL, LaiPB,LauIW. Selection the useof thesegluesis safeande1'l'ective.l5'16 393 394 MEIJER pepticulcer.Br J Surg 1 6 .SalvinoCK, EspositoTJ, SrnithDK, et al. Laparoscopic repairof pertbrated for laparoscopic abdominjectionof fibrin glueto anestintraparenchymal 133-136. 2001;88r inal hemonhage:An exprimentalstudy. J Trauma Nist2. LimaM, DominiM, Libri M, GarziA, Laparoscopic 1993:35:762-766. studyon senfundoplication with fibrin glue:experimental pigs.Eur I PedianSurg1997;7:4-1. total exto: Addressreprintrequests l J . BeattieGC, Kumat S, Nixon SJ. Laparoscopic J herniarepair:Meshfixationis unnecessary' M.Sc., Ph.D. traperitoneal M.D., W. Meijer, Dirk Adv SurgTechA 2000;10:71-73. Laparoendosc Editor,TechnicalSection with theuseof 14.JourdanIC, BaileyME. Initial experience AcatlemicMedicalCenter gluefor the fixationof polypropylf-butyl-2-cyanoctylate Surgery of Experimental Department Enherniarepair.SurgLaparosc lenemeshin laparoscopic Universityof Anuterdam dosc1998;8:291-293. Amsterdam G, Bassein 1 5 .De IacoP, CostaA, MazzoleniG, Pasquinelli The Netherlands preadhesion L, MarabiniA. Fibrinsealantiu laparoscopic vention in the rabbit uterine hom model.Fertil Steril factory-cro.com E-nail : d.meijer@ 1994:62:400-404.
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