Use of Topical Hemostatic Agents in Gynecologic Surgery

作者：Wysham Weiya Z^*; Roque Dario R; Soper John T

来源：Obstetrical and Gynecological Survey, 2014, 69(9): 557-563.

DOI：10.1097/ogx.0000000000000106

Sutures, hemoclips, and electrocautery are the primary mechanisms used to achieve hemostasis during gynecologic surgery, but in situations in which these are inadequate or not feasible, an array of hemostatic agents are available to help achieve hemostasis. These agents include physical agents such as cellulose, collagen, or gelatin products as well as biologic agents such as thrombin and fibrin products. Limited data are available on many of these agents, although their use is increasing, sometimes at high costs. In gynecologic surgery, hemostatic agents are likely most effective when used in areas of oozing or slow bleeding and as an adjunct to conventional surgical methods of hemostasis.
Target Audience: Obstetricians and gynecologists, family physicians
Learning Objectives: After completing this CME activity, physicians should be better able to identify various topical hemostatic agents and distinguish them from each other on the basis of mechanism of action, evaluate the potential complications associated with the use of topical hemostatic agents, and choose the optimal situations in which to use topical hemostatic agents in gynecologic surgery.

• 出版日期2014-9