title: Absorbable laparoscopic cigarette sponge.
abstract: OBJECTIVE
  Minor intraoperative bleeding during laparoscopy poses a significant challenge to the minimally invasive urologist. We report on our improvement of the previously reported laparoscopic cigarette sponge with absorbable materials.
  
  
  METHODS
  The sponge was constructed from a strip of absorbable gelatin sponge wrapped in oxidized regenerated cellulose and secured with absorbable suture. This device can be inserted into the laparoscopic field through a standard 12-mm laparoscopic port and similarly removed. It can also remain intracorporeally if left behind following surgery.
  
  
  RESULTS
  The sponge has proven to be very effective at controlling minor hemorrhage and aiding with dissection and retraction.
  
  
  CONCLUSIONS
  This device has improved operative safety and provides a useful alternative when laparoscopic bleeding occurs.
authors.affiliation: Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
authors.forename: David W
authors.initials: DW
authors.lastname: Brandli
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Bernie
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Connor
authors.forename: Chandru P
authors.initials: CP
authors.lastname: Sundaram
mesh_terms: D005780:Gelatin; D006488:Hemostasis, Surgical / Q000295:instrumentation*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D015503:Surgical Sponges; D013520:Urologic Surgical Procedures / Q000379:methods
chemical_list: D005780:Gelatin