In:
HPB Surgery, Hindawi Limited, Vol. 9, No. 2 ( 1996-01-01), p. 97-99
Abstract:
Fourteen pigs underwent left-sided hepatectomy. The resection was performed with a linear
stapling device and the pigs were randomised to either Surgicel ® reinforced resection lines or not.
The median time required for resection was 25 min (range 17-30) in the Surgicel ® reinforced
group compared to 30 min (range 21-41) in the stapled group. This difference was, however, not statistically significant (p=0.053). The postoperative haemoglobin value was lower in the stapled group compared to the
Surgicel ® reinforced group 69 g/1 (range 42-85) versus 82 g/1 (range 78-90) (p=0.018). The
estimated blood losses by weighing the compresses were 287 ml (range 166-379) for the stapled group and 204 ml (range 152-264) for the Surgicel ® reinforced group (p=0.053).
The median number of additional haemostatic sutures in the Surgicel ® reinforced group was
7 (range 3-11) and in the stapled group 10 (range 5-15) (p=0.038). The haemoglobin value was similar in the two groups week postoperatively; 100 g/1 (range
87-104) and 102 g/1 (range 95-114), p=0.27, in the stapled group and the Surgicel ® reinforced group, respectively. In the stapled group reinforced with the Surgicel ® there was one postoperative death. In the solely stapled group there was no postoperative death (p=0.5). Four out
of six pigs in the Surgicel ® group had massive adhesions to the resection lines. One of these six
pigs was sacrificed postoperatively as it was ill and had small bowel obstruction secondary to Surgicel ® induced adhesions. On the other hand, no adhesions were seen in the solely stapled pigs
(p=0.09). At this point, we can not recommend the use of Surgicel ® to reinforce resection lines at stapled liver resection in the clinical situation, because of the high frequency of adhesions this
material creates.
Type of Medium:
Online Resource
ISSN:
0894-8569
Language:
English
Publisher:
Hindawi Limited
Publication Date:
1996
detail.hit.zdb_id:
2031561-2
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