Technical Editorial Hemostats, Adhesives, and sealants in

Transcrição

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.

Documentos relacionados

Mobiliário de Direção

Mobiliário de Direção Mesa de reunião oval Oval meeting table • Table de réunion ovale • Mesa de reunioo oval

Leia mais