title: Modified hemostatic technique using microfibrillar collagen hemostat in endoscopic endonasal transsphenoidal surgery: technical note.
abstract: Microfibrillar collagen hemostat (MCH) is accepted as an effective topical hemostatic agent during endoscopic endonasal transsphenoidal surgery (EETS), particularly to achieve venous hemostasis; however, handling MCH may be troublesome because of its adherence to gloves and instruments. We describe here a method of "injection" of MCH suspension using a syringe applicator. This technique allows a rapid and precise delivery of MCH to the bleeding points and thereby results in effective hemostasis; in addition, it is easy to prepare and it is also inexpensive.
authors: Department of Neurosurgery, Osaka Neurological Institute.
authors: Yasunori
authors: Y
authors: Fujimoto
authors: Taisuke
authors: T
authors: Kobayashi
authors: Masahiro
authors: M
authors: Komori
authors: Pedro
authors: P
authors: Mariani
authors: Edson
authors: E
authors: Bor-Seng-Shu
authors: Manoel Jacobsen
authors: MJ
authors: Teixeira
authors: Akatsuki
authors: A
authors: Wakayama
authors: Toshiki
authors: T
authors: Yoshimine
mesh_terms: D000236:Adenoma / Q000601:surgery*; D000287:Administration, Topical; D000293:Adolescent; D000328:Adult; D000368:Aged; D020863:Central Nervous System Cysts / Q000601:surgery*; D002648:Child; D003094:Collagen / Q000008:administration & dosage*; D004388:Dura Mater / Q000187:drug effects; D004724:Endoscopy / Q000379:methods*; D005260:Female; D018237:Germinoma / Q000601:surgery*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000601:surgery*; D013101:Sphenoid Sinus / Q000601:surgery*; D013594:Syringes; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D003094:Collagen