Modified Hemostatic Technique Using Microfibrillar Collagen Hemostat in Endoscopic Endonasal Transsphenoidal Surgery: Technical Note

Autor: Pedro Mariani, Edson Bor-Seng-Shu, Yasunori Fujimoto, Toshiki Yoshimine, Akatsuki Wakayama, Masahiro Komori, Manoel Jacobsen Teixeira, Taisuke Kobayashi
Rok vydání: 2014
Předmět:
Zdroj: Neurologia medico-chirurgica
ISSN: 1349-8029
0470-8105
DOI: 10.2176/nmc.tn.2014-0024
Popis: Microfibrillar collagen hemostat (MCH) is accepted as an effective topical hemostatic agent during endoscopic endonasal transsphenoidal surgery (EETS), particularly to achieve venous hemostasis; however, handling MCH may be troublesome because of its adherence to gloves and instruments. We describe here a method of "injection" of MCH suspension using a syringe applicator. This technique allows a rapid and precise delivery of MCH to the bleeding points and thereby results in effective hemostasis; in addition, it is easy to prepare and it is also inexpensive.
Databáze: OpenAIRE