بررسی مقایسه تاثیر مواد هموستاتیک مختلف در هموستاز کبد بعد از رزکسیون کبدی

کاکایی, فرزاد and سید صادقی, میرسلیم and صانعی, بهنام and هاشم زاده, شهریار and حبیب زاده, افشین (1392) بررسی مقایسه تاثیر مواد هموستاتیک مختلف در هموستاز کبد بعد از رزکسیون کبدی. HPB Surgery ــ 2013 . pp. 1-5. شاپا 0894-8569


Official URL: https://www.hindawi.com/journals/hpb/2013/587608/


A Randomized Clinical Trial Comparing the Effect of Different Haemostatic Agents for Haemostasis of the Liver after Hepatic Resection

English Abstract

Introduction. Operative blood loss is still a great obstacle to liver resection, and various topical hemostatic agents were introduced to reduce it. The aim of the current study is to evaluate effects of 3 different types of these agents. Methods. In this randomized clinical trial, 45 patients undergoing liver resection were assigned to receive TachoSil, Surgicel, and Glubran 2 for controlling bleeding. Intraoperative and postoperative findings were compared between groups. Results. Postoperative bleeding (0 versus 33.3%, ) and drainage volume first day after surgery ( versus  mL, ) were significantly higher in Surgicel than in TachoSil group. Postoperative complications included bile leak (3 cases in Surgicel, 1 case in TachoSil and Glubran 2), noninfectious collection (2 cases in TachoSil and Surgicel and 1 case in Glubran 2), perihepatic abscess, and massive hematoma around hepatectomy site both in Surgicel group. There was no death during the study period. Conclusion. Due to higher complications in Surgicel group, its application as hemostatic agent after liver resection is not recommended. Better results in TachoSil in comparison to the other two are indicative of its better efficacy and superiority in controlling hemostasis.

Item Type:Article
زبان سند : انگلیسی
نویسنده مسئول :فرزاد کاکایی
نویسنده :میرسلیم سید صادقی
نویسنده :افشین حبیب زاده
Additional Information:Indexed in: Pubmed/Medline/Index Medicus, Scopus, Academic OneFile, Academic Search Alumni Edition, CINAHL , DOAJ, EBSCOhost Research Databases, Google Scholar, Health Reference Center Academic, HINARI Access to Research in Health Programme, J-Gate Portal, WorldCat Discovery Services
Subjects:WO Surgery
Divisions:Faculty of Medicine > Department of Surgery
ID Code:9276
Deposited By: Mr farhad khodaei
Deposited On:30 Jul 1396 12:33
Last Modified:30 Jul 1396 12:33

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