Hemostasis using tissue glue in laparoscopy: discussion and review.
OBJECTIVE
To discuss the usefulness of tissue glue and TachoComb (TC), a new hemostyptic agent which combines the advantages of two reliable hemostyptic products-collagen fleece and fibrin glue in local hemostasis during laparoscopy.


METHODS
Department of Gynecology and Obstetrics, Endoscopic Training Centre, Hospital Kladno.


METHODS
Review.


METHODS
Analysis of literary and clinical data.


RESULTS
In recent years, collagen fibers, gelatin sponges, oxidized cellulose and fibrin glue has been developed, which are now widely used in postoperative hemostasis in laparoscopy. An efficient use of these preparations shortens the duration of intervention procedures and reduces patient strain.


CONCLUSIONS
Clinical studies demonstrate that hemorrhage from damage tissue important pelvic structures can be successfully arrested and controlled using the laparoscope to apply tissue glue. At Czech study, sixteen patients have been effective treated with collagen-fibrin agent during laparoscopic operations. The elimination of hemorrhages after primary laparoscopic electrosurgery and the effectiveness of this drug have been successfully tested.
Holub
Z
Z
Department of Gynecology and Obstetrics, Endoscopic Training Centre Hospital Kladno Head Holub, Zdenĕk.
Kliment
L
L
D007611:Aprotinin; D004338:Drug Combinations; D005260:Female; D005340:Fibrinogen; D013509:Gynecologic Surgical Procedures; D006488:Hemostasis, Surgical; D006801:Humans; D010535:Laparoscopy; D013917:Thrombin
D004338:Drug Combinations; C093991:tachocomb; D005340:Fibrinogen; D007611:Aprotinin; D013917:Thrombin