Evaluation of Postoperative Bleeding Control Employing Surgicel: An original article

Abstract

Abstract BackgroundFor rapid control of bleeding as a potential surgical complication, various techniques and equipment have been developed that can be referred to as local hemostatic agents. Research shows that the Surgicel, as one of such agents, has a significant effect on reducing bleeding in most surgeries, however, in our experimental observations on patients undergoing open prostatectomy, not only no significant reduction was seen in the amount of bleeding, but also in some cases, the Surgicel led to infection. Therefore, in this study, the effect of the Surgicel on infection and bleeding in open prostatectomy was investigated.MethosThirty patients undergoing open prostatectomy were randomly divided into two groups. To control bleeding after suturing the bladder neck, the Surgicel was installed in the first group, while it was not installed in the second group. Hemoglobin, hematocrit, PT, PTT, INR, bleeding rate, and postoperative complications were evaluated in all patients.ResultsIn the studied groups, hemoglobin level and hematocrit percentage before surgery and on the first and second days after surgery along with coagulation status were compared in terms of PT, PTT, and INR. There were no significant differences between the studied variables and baseline variables.ConclusionThe present study revealed that the Surgicel in open prostatectomy cannot be effective in controlling bleeding and can lead to infection.