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Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery
BACKGROUND: The essential objectives for thyroidectomy are: avoidance of injury to the recurrent laryngeal nerves, conservation of the parathyroid glands, an accurate haemostasis and an excellent cosmesis. In the last 10 years major improvements and new technologies have been proposed and applied in...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2007
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839768/ https://www.ncbi.nlm.nih.gov/pubmed/17411448 http://dx.doi.org/10.1186/1750-1164-1-3 |
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author | Dionigi, Gianlorenzo Boni, Luigi Rovera, Francesca Dionigi, Renzo |
author_facet | Dionigi, Gianlorenzo Boni, Luigi Rovera, Francesca Dionigi, Renzo |
author_sort | Dionigi, Gianlorenzo |
collection | PubMed |
description | BACKGROUND: The essential objectives for thyroidectomy are: avoidance of injury to the recurrent laryngeal nerves, conservation of the parathyroid glands, an accurate haemostasis and an excellent cosmesis. In the last 10 years major improvements and new technologies have been proposed and applied in thyroid surgery; among these mini-invasive thyroidectomy, regional anaesthesia and intraoperative neuromonitoring, and new devices for achieving dissection and haemostasis. Minor bleeding from small vessels could be a major complication in thyroid surgery. The purpose of ligating vessels is to maintain the surgical site free from an excess of blood and reduce blood loss in the patient. MATERIALS AND METHODS: Hydroxylated polyvinyl acetal tampons (HPA) are made by a synthetic, open cell foam structure able to absorb fluids up to 25 times the initial weight. We tested their efficacy for small bleeding control and tissue dissection during several thyroid procedures. RESULTS: HPA tampons have been found extremely useful to absorb blood coming from minor and diffuse loss, helping to control bleeding by a combined action of fluid absorption and local compression. The porous design of the tampon allows the use of the suction device right through the tampon itself. Thanks to the initial mildly hard consistency, we also used HPA tampons as dissecting instruments. CONCLUSION: In our experience the use of HPA tampons resulted extremely efficient for minor bleeding control, fluids removal and tissue dissection during thyroid surgery. |
format | Text |
id | pubmed-1839768 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2007 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-18397682007-04-02 Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery Dionigi, Gianlorenzo Boni, Luigi Rovera, Francesca Dionigi, Renzo Ann Surg Innov Res Research Article BACKGROUND: The essential objectives for thyroidectomy are: avoidance of injury to the recurrent laryngeal nerves, conservation of the parathyroid glands, an accurate haemostasis and an excellent cosmesis. In the last 10 years major improvements and new technologies have been proposed and applied in thyroid surgery; among these mini-invasive thyroidectomy, regional anaesthesia and intraoperative neuromonitoring, and new devices for achieving dissection and haemostasis. Minor bleeding from small vessels could be a major complication in thyroid surgery. The purpose of ligating vessels is to maintain the surgical site free from an excess of blood and reduce blood loss in the patient. MATERIALS AND METHODS: Hydroxylated polyvinyl acetal tampons (HPA) are made by a synthetic, open cell foam structure able to absorb fluids up to 25 times the initial weight. We tested their efficacy for small bleeding control and tissue dissection during several thyroid procedures. RESULTS: HPA tampons have been found extremely useful to absorb blood coming from minor and diffuse loss, helping to control bleeding by a combined action of fluid absorption and local compression. The porous design of the tampon allows the use of the suction device right through the tampon itself. Thanks to the initial mildly hard consistency, we also used HPA tampons as dissecting instruments. CONCLUSION: In our experience the use of HPA tampons resulted extremely efficient for minor bleeding control, fluids removal and tissue dissection during thyroid surgery. BioMed Central 2007-02-20 /pmc/articles/PMC1839768/ /pubmed/17411448 http://dx.doi.org/10.1186/1750-1164-1-3 Text en Copyright © 2007 Dionigi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Dionigi, Gianlorenzo Boni, Luigi Rovera, Francesca Dionigi, Renzo Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
title | Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
title_full | Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
title_fullStr | Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
title_full_unstemmed | Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
title_short | Dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
title_sort | dissection and hemostasis with hydroxilated polyvinyl acetal tampons in open thyroid surgery |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839768/ https://www.ncbi.nlm.nih.gov/pubmed/17411448 http://dx.doi.org/10.1186/1750-1164-1-3 |
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