Affiliation:
1. Department of Surgery, Charing Cross and Westminster Medical School, London W6, UK
Abstract
Abstract
The haemostatic effect of two new materials has been compared with surgical gauze and oxidized cellulose using a standardized liver laceration in New Zealand White rabbits. Following excision of a 3 cm2 disc of tissue from the liver, 42 rabbits were randomized to the use of gauze swabs (n = 6), oxidized cellulose (Surgicel®) (n = 12), porcine collagen (Medistat®) (n = 12) or calcium alginate (Kaltostat®) (n = 12) to control the resulting haemorrhage. Blood loss and time to haemostasis were accurately recorded. The absorbable materials were left in situ and animals killed between 2 weeks and 6 months later to examine speed of absorption and resulting adhesions. Calcium alginate stopped bleeding in <3 min in all animals compared with a mean (±s.e.m.) of 5.7 ± 0.75 min for porcine collagen, 12.5 ± 0.9 min for oxidized cellulose and > 15min with gauze (P < 0.001). Oxidized cellulose and calcium alginate reabsorbed within 3 months leaving a fibrous scar, but a vigorous foreign body reaction was seen with porcine collagen which caused intestinal obstruction in 5 out of 12 animals within 3 months.
Publisher
Oxford University Press (OUP)
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