Article Commentary: Hemostats, Sealants, and Adhesives: A Practical Guide for the Surgeon

American Surgeon - Tập 78 Số 12 - Trang 1305-1321 - 2012
William D. Spotnitz1
1From the Surgical Therapeutic Advancement Center, Department of Surgery, University of Virginia Health System, Charlottesville, Virginia.

Tóm tắt

Hemostats, sealants, and adhesives are useful adjuncts to modern surgical procedures. To maximize their benefit, a surgeon needs to understand the safety, efficacy, usability, and cost of these agents. To be truly added to a surgeon's own toolbox, the operator must also have knowledge of when and how to best use these materials. This commentary is designed to succinctly facilitate this understanding and knowledge. A nomenclature and classification system based on group, category, and class has been created to help with this process and is provided here. By using this system, materials consisting of similar design and for common indications can be compared. For example, in this system, the three functional groups are hemostats, sealants, and adhesives. The hemostats may be divided into four categories: mechanical, active, flowable, and fibrin sealant. These hemostat categories are further subdivided into generic classes based on the composition of the approved materials. Similarly, categories and classes are provided for sealants and adhesives. In this commentary, the salient points with respect to the characteristics of these agents are presented. A discussion of when these agents can be used in specific indications and how they may be applied to achieve the best results is also provided.

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Tài liệu tham khảo

10.1111/j.1537-2995.2008.01703.x

10.1177/1076029610363589

10.1111/j.1537-2995.2012.03707.x

10.1097/SLA.0b013e3181c3bcca

10.2310/6670.2010.00015

10.4103/0970-1591.70574

10.1016/j.transci.2011.10.013

10.1056/NEJMoa070403

Weinberg J.A., 2008, J Trauma, 65, 794

10.1016/j.jamcollsurg.2008.11.019

Phelan H.A., 2010, J Trauma, 69, 330

10.1111/j.1537-2995.2011.03097.x

10.1111/j.1537-2995.2010.03026.x

10.1592/phco.31.12.1175

10.2174/138161210793563338

10.1007/s00464-010-1078-y

10.1007/s00423-010-0669-3

10.1007/s00464-010-1180-1

Su Y.H., 2010, Hepatogastroenterology, 57, 1608

10.1007/DCR.0b013e3182060904

10.1056/NEJMoa1103510

10.1007/s00464-011-1676-3

10.1007/s11605-011-1749-6

Abelson R., 2011, New York Times, A1

Spotnitz W.D., 1987, Am Surg, 53, 460

10.1016/S0002-9610(88)80301-5

10.1007/BF00591361

10.1016/0003-4975(89)90392-5

10.1016/S0022-3468(89)80584-6

10.1001/archsurg.1990.01410150027005

10.1016/0022-4804(92)90068-B

10.1002/ccd.1810340322

10.1006/jsre.1996.0082

10.1097/00000637-199610000-00009

10.1002/(SICI)1097-0304(199705)41:1<79::AID-CCD18>3.0.CO;2-L

10.1097/00000637-199810000-00011

10.1016/S1051-0443(99)70065-5

10.1016/S0883-5403(99)90105-5

10.2500/105065800779954464

10.1097/00000637-200045050-00009

10.1097/00006534-200111000-00033

10.1016/S0022-5223(19)36427-X

10.1016/S0003-4975(10)60214-7

10.1016/S0003-4975(10)62115-7

Spotnitz W.D., 1989, Am Surg, 55, 166

10.1227/00006123-199002000-00004

10.1016/0003-4975(90)90080-P

Bayfield M.S., 1996, Chest Surg Clin N Am, 6, 567

Moore M.M., 1997, Am Surg, 63, 97

Spotnitz W.D., 1998, Ann Thorac Surg, 65, 592, 10.1016/S0003-4975(97)01374-X

10.1016/S0003-4975(00)01277-7

10.1097/00005537-200102000-00014

10.1016/S1072-7515(01)00827-4

10.2106/00004623-200110000-00007

Schenk W.G., 2002, Am Surg, 68, 728, 10.1177/000313480206800814

10.1097/01.SLA.0000071565.02994.DA

10.1615/JLongTermEffMedImplants.v13.i5.40

10.1615/JLongTermEffMedImplants.v13.i5.50

10.1016/S1010-7940(96)80332-0

10.1381/096089204772787266

10.1016/j.amjsurg.2007.11.010

10.1002/micr.20754

Dineen P., 1976, Surg Gynecol Obstet, 142, 481

10.2214/ajr.160.2.8424333

10.1007/BF00198195

Jaspan D., 2007, J Reprod Med, 52, 1109

10.1007/s10140-007-0665-2

10.1102/1470-7330.2010.0023

10.1016/j.ijscr.2012.03.001

10.1006/jsre.1996.0379

10.1016/0002-9610(83)90074-0

10.1159/000129135

10.1902/jop.1999.70.11.1369

Jenkins H.P., 1946, Surgery, 20, 124

10.1097/01.ju.0000136001.99920.97

10.1177/000348941112000801

10.1016/S0967-2109(03)00068-1

10.1046/j.1365-2141.2000.01818.x

10.1016/S0003-4975(02)03415-X

10.1016/j.jamcollsurg.2007.03.020

10.1186/1750-1164-3-14

10.1016/S0003-4975(00)01194-2

10.1007/s10016-001-0073-0

10.1016/j.otohns.2004.05.025

10.1097/01.MLG.0000160528.50017.3C

10.1016/j.otohns.2006.09.020

10.1007/s00423-009-0497-5

10.1016/j.athoracsur.2009.07.014

10.1089/end.2008.0535

10.2147/CCID.S25747

10.1111/j.1524-475X.2011.00740.x

10.1007/s12663-011-0182-4

10.1007/s00268-009-0252-7

10.1016/S0022-5223(19)35324-3

10.1016/S0002-9610(97)00018-4

10.2106/00004623-199911000-00010

10.1001/archsurg.135.10.1200

10.1097/00004630-200103000-00003

10.1097/01.SAP.0000041484.22953.6D

10.1159/000072229

10.1016/S0741-5214(03)00474-9

10.1001/archsurg.139.11.1148

Lowe J., 2007, J Cardiovasc Surg (Torino), 48, 323

10.1002/bjs.7235

10.1016/j.avsg.2010.12.016

10.1177/1076029611404212

10.1016/j.jvs.2012.01.009

10.1007/s00423-005-0543-x

10.1016/j.eururo.2007.04.027

10.1016/j.ejcts.2009.04.057

10.1016/j.surg.2010.02.008

10.1055/s-0038-1642725

10.1381/096089203321136575

10.1381/096089206775565249

10.1001/archsurg.137.3.326

Osbun J.W., 2011, World Neurosurg

10.1097/BRS.0b013e3181fdb4db

10.1016/j.athoracsur.2003.10.049

10.1016/j.athoracsur.2004.11.054

10.1016/j.jss.2006.10.014

10.1016/j.athoracsur.2005.02.004

10.1016/S0003-4975(02)03512-9

10.1111/j.1540-8191.2012.01441.x

Klimo P., 2007, Neurosurgery, 60, 305

10.1007/s00701-010-0830-3

10.1510/icvts.2011.276360

10.1510/icvts.2011.276360A

10.1016/S1072-7515(03)00376-4

10.1177/000313480507100808

10.1016/j.jvs.2006.06.039

10.1197/S1069-6563(03)00376-2

10.1016/S0196-0644(05)80977-1

10.1001/jama.1997.03540430039030

10.1016/j.athoracsur.2009.06.047

10.1016/j.athoracsur.2004.11.054

10.1016/S0003-4975(02)04128-0

10.1186/1749-8090-4-27

10.1097/BCR.0b013e31816673f8

10.1111/j.1464-410X.2008.07926.x

10.1097/01.ju.0000104800.97009.c6

10.1007/s00404-009-0985-4

10.1097/SLE.0b013e31821db688

10.1097/00005373-199804000-00024

10.1111/j.1464-410X.2003.04742.x

10.1007/s00464-007-9288-7

10.1007/s00464-007-9235-7

10.1007/s00540-011-1120-9

10.1016/S1074-3804(05)80226-9

10.1016/S1072-7515(03)00119-4

Sebesta M.J., 2004, JSLS, 8, 9

10.1097/00129689-200606000-00005

10.4293/108680810X12924466006729

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American Surgeon

Tập 78 Số 12

1305-1321

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