title: Intraoperative hemostasis during kidney transplantation and the use collagen mesh dressing covered by fibrin glue (TachoComb).
abstract: In this paper we present influence of use of haemostatic dressing TachoComb, onto bleeding from surface of transplanted kidney. Kidney transplantation (KTX) seems to be main method of treatment of terminal renal failure. Enlarging number of KTX results in growing frequency of intra and postoperative complications. Hemorrhagic complications can impact clinical status of recipient and graft function. Haemostatic dressing was applied at 29 cases. Control group in which only gas compresses were used consisted of 25 patients. It was proved, that use of dressing from collagen mesh covered by fibrin glue TachoComb, after kidney transplantation diminished parenchymal bleeding and time necessary to get complete hemostasis.
authors.affiliation: Department of Vascular, General and Transplantological Surgery, Wrocław University of Medicine. apupka@chirn.am.wroc.pl
authors.forename: Artur
authors.initials: A
authors.lastname: Pupka
authors.forename: Paweł
authors.initials: P
authors.lastname: Chudoba
authors.forename: Piotr
authors.initials: P
authors.lastname: Barć
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Kałuza
authors.forename: Artur
authors.initials: A
authors.lastname: Ruciński
authors.forename: Dariusz
authors.initials: D
authors.lastname: Janczak
authors.forename: Stanisław
authors.initials: S
authors.lastname: Pawłowski
authors.forename: Piotr
authors.initials: P
authors.lastname: Szyber
mesh_terms: D007611:Aprotinin / Q000627:therapeutic use*; D001684:Biological Dressings; D003094:Collagen; D004338:Drug Combinations; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D005340:Fibrinogen / Q000627:therapeutic use*; D006488:Hemostasis, Surgical / Q000379:methods*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods; D008297:Male; D013917:Thrombin / Q000627:therapeutic use*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D004338:Drug Combinations; D015718:Fibrin Tissue Adhesive; D006490:Hemostatics; C093991:tachocomb; D005340:Fibrinogen; D003094:Collagen; D007611:Aprotinin; D013917:Thrombin