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

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...

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Detalles Bibliográficos
Autores principales: FUJIMOTO, Yasunori, KOBAYASHI, Taisuke, KOMORI, Masahiro, MARIANI, Pedro, BOR-SENG-SHU, Edson, TEIXEIRA, Manoel Jacobsen, WAKAYAMA, Akatsuki, YOSHIMINE, Toshiki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4533492/
https://www.ncbi.nlm.nih.gov/pubmed/25070019
http://dx.doi.org/10.2176/nmc.tn.2014-0024
Descripción
Sumario: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.