A Randomized Clinical Trial Comparing the Effect of Different Haemostatic Agents for Haemostasis of the Liver after Hepatic Resection
Joint Authors
Seyyed Sadeghi, Mir Salim
Sanei, Behnam
Kakaei, Farzad
Hashemzadeh, Shahryar
Habibzadeh, Afshin
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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%, P=0.04) and drainage volume first day after surgery (281.33±103.98 versus 150.00±60.82 mL, P=0.02) 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.
American Psychological Association (APA)
Kakaei, Farzad& Seyyed Sadeghi, Mir Salim& Sanei, Behnam& Hashemzadeh, Shahryar& Habibzadeh, Afshin. 2013. A Randomized Clinical Trial Comparing the Effect of Different Haemostatic Agents for Haemostasis of the Liver after Hepatic Resection. HPB Surgery،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-483067
Modern Language Association (MLA)
Kakaei, Farzad…[et al.]. A Randomized Clinical Trial Comparing the Effect of Different Haemostatic Agents for Haemostasis of the Liver after Hepatic Resection. HPB Surgery No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-483067
American Medical Association (AMA)
Kakaei, Farzad& Seyyed Sadeghi, Mir Salim& Sanei, Behnam& Hashemzadeh, Shahryar& Habibzadeh, Afshin. A Randomized Clinical Trial Comparing the Effect of Different Haemostatic Agents for Haemostasis of the Liver after Hepatic Resection. HPB Surgery. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-483067
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483067