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Efficacy of TachoSil, a Fibrin-Based Hemostat, for Anterior Lumbar Spine Surgery
- Source :
- Asian Spine Journal, Vol 10, Iss 5, Pp 930-934 (2016)
- Publication Year :
- 2016
- Publisher :
- Korean Spine Society, 2016.
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Abstract
- Study DesignRetrospective case series.PurposeTo examine the efficacy of TachoSil for vessel injury in 6 patients who underwent anterior lumbar fusion surgery (ALF).Overview of LiteratureALF for the lumbar spine has a high rate of success, although intraoperative concerns and iatrogenic complications are known, and injury of a major vessel is sometimes a complication. The efficacy of TachoSil, a fibrin-based hemostat, has been reported for several types of surgery; however, use of TachoSil for ALF surgery has not been described. Here, we report on the efficacy of TachoSil in 6 patients, who underwent ALF after vascular surgeons having difficulty in repairing vessels.MethodsTwo man and 4 women with average age of 50.8±10.9 (mean±standard deviation) were diagnosed with a vertebral tumor (2 patients), L4 degenerative spondylolisthesis (2 patients), and L5 spondylolytic spondylolisthesis (2 patients) and underwent ALF. The blood vessels injured included the common iliac vein in 2 patients and a branch of a segmental artery from the aorta in 4 patients. We consulted a vascular surgeon to suture or repair the vessels during surgery, and although the vascular surgeon attempted to address the injuries, suturing or repair was not possible in these cases. For this reason, we used TachoSil to repair the injury in the vessels walls or to stop the bleeding.Results Time to pressure hemostasis using TachoSil was 34±12 minutes, and total blood loss was 1,488±1,711 mL. Nevertheless, all vessel injuries were controlled by the use of TachoSil.ConclusionsWe recommend the use of TachoSil for vessel injuries that vascular surgeons cannot suture or repair during ALF surgery.
- Subjects :
- TachoSil
A fibrin-based hemostat
Anterior lumbar fusion surgery
Blood
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 19761902 and 19767846
- Volume :
- 10
- Issue :
- 5
- Database :
- Directory of Open Access Journals
- Journal :
- Asian Spine Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.0fe5937752934412a31f5c75d9b8dd01
- Document Type :
- article
- Full Text :
- https://doi.org/10.4184/asj.2016.10.5.930