title: Layered wrapping technique combined with oxidized cellulose and vascular prosthesis for effective haemostasis in aortic surgery.
abstract: Bleeding from anastomotic sites is one of the major complications of aortic surgery. We describe a novel double-layer wrapping technique using a combination of oxidized cellulose and a vascular prosthesis to effectively achieve haemostasis. The anastomotic site is surrounded by a prosthetic graft inlaid with a strip of Nu-Knit. These are fixed by horizontal mattress and over-and-over sutures. Nu-Knit acts as an ideal cushion to achieve haemostasis, because it has a haemostatic effect and fills the space between the anastomotic site and wrapping graft. This technique is simple, and facilitates adequate haemostasis without complications.
authors.affiliation: Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan s-ohira@koto.kpu-m.ac.jp suguru19820411@yahoo.co.jp.
authors.forename: Suguru
authors.initials: S
authors.lastname: Ohira
authors.affiliation: Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Taiji
authors.initials: T
authors.lastname: Watanabe
authors.affiliation: Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yaku
mesh_terms: D001011:Aorta / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D002483:Cellulose, Oxidized; D006489:Hemostatic Techniques / Q000295:instrumentation*; D006801:Humans; D011474:Prosthesis Design; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D002483:Cellulose, Oxidized
keywords: Aortic operation; Bleeding control; Surgical techniques