title: Microfibrillar collagen (Avitene) and antibiotic-containing fibrin-glue after median sternotomy.
abstract: A technique to control bleeding before closure of median sternotomy after cardiac procedures is described. This technique is useful in patients when conventional methods of hemostasis are ineffective because of hypocoaguability, sternal fracture, or friable sternum.
authors.affiliation: Department of Surgery (1), Toyama Medical and Pharmaceutical University, Japan.
authors.forename: G
authors.initials: G
authors.lastname: Watanabe
authors.forename: T
authors.initials: T
authors.lastname: Misaki
authors.forename: K
authors.initials: K
authors.lastname: Kotoh
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D016063:Blood Loss, Surgical / Q000517:prevention & control; D006348:Cardiac Surgical Procedures / Q000379:methods; D003094:Collagen / Q000494:pharmacology*; D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive / Q000494:pharmacology*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D013249:Sternum / Q000187:drug effects / Q000601:surgery*; D016896:Treatment Outcome; D014640:Vancomycin / Q000494:pharmacology*
chemical_list: D000900:Anti-Bacterial Agents; D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D014640:Vancomycin; D003094:Collagen