title: Postexplant residual cavity hemostasis with a TachoSil patch.
abstract: Intracapsular nephrectomy as the standard explant technique for a unfunctional graft is associated with intra- and postoperative complications due mainly to hemorrhage, fluid collections, effusions from damaged tissues and the residual cavity. We have reported herein a positive experience with the use of a collagen medical sponge patch into the surgical site for hemostasis. Use of this device produced a reduction in postoperative bleeding and collections with shortened time of drainage, reduced infection risk, and earlier discharge.
authors.affiliation: A.O.U. OO. RR. San Giovanni di Dio and Ruggi D'Aragona Hospital, Salerno-O.U. General Surgery and Renal Transplantation, Napoli, Italy. paride.derosa@sangiovannieruggi.it
authors.forename: P
authors.initials: P
authors.lastname: De Rosa
authors.forename: G
authors.initials: G
authors.lastname: Valeriani
authors.forename: G
authors.initials: G
authors.lastname: Barbato
authors.forename: V
authors.initials: V
authors.lastname: Cerbone
authors.forename: M
authors.initials: M
authors.lastname: Ciccone
authors.forename: E
authors.initials: E
authors.lastname: Russo
authors.forename: D
authors.initials: D
authors.lastname: Vicedomini
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004322:Drainage; D004338:Drug Combinations; D005260:Female; D005340:Fibrinogen / Q000627:therapeutic use*; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D007558:Italy; D016030:Kidney Transplantation / Q000009:adverse effects*; D007902:Length of Stay; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects*; D010351:Patient Discharge; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D012086:Reoperation; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control; D013917:Thrombin / Q000627:therapeutic use*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D004338:Drug Combinations; C518955:TachoSil; D005340:Fibrinogen; D013917:Thrombin