Modified Hemostatic Technique Using Microfibrillar Collagen Hemostat in Endoscopic Endonasal Transsphenoidal Surgery: Technical Note

Yasunori FUJIMOTO; Taisuke KOBAYASHI; Masahiro KOMORI; Pedro MARIANI; Edson BOR-SENG-SHU; Manoel Jacobsen TEIXEIRA; Akatsuki WAKAYAMA; Toshiki YOSHIMINE

doi:10.2176/nmc.tn.2014-0024

This article has now been updated. Please use the final version.

Modified Hemostatic Technique Using Microfibrillar Collagen Hemostat in Endoscopic Endonasal Transsphenoidal Surgery: Technical Note

Yasunori FUJIMOTO, Taisuke KOBAYASHI, Masahiro KOMORI, Pedro MARIANI, Edson BOR-SENG-SHU, Manoel Jacobsen TEIXEIRA, Akatsuki WAKAYAMA, Toshiki YOSHIMINE

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Keywords: endoscopic endonasal transsphenoidal surgery, microfibrillar collagen hemostat, topical hemostat

JOURNAL FREE ACCESS Advance online publication

Article ID: tn.2014-0024

DOI https://doi.org/10.2176/nmc.tn.2014-0024

The final version of this article is now available: Vol. 54 (2014), No. 8 pp. 617-621

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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.

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