Use of fibrin glue sealant with polyglycolic acid sheets to prevent pancreatic fistula formation after laparoscopic-assisted gastrectomy

Surgery Today ◽  
2012 ◽  
Vol 43 (5) ◽  
pp. 527-533 ◽  
Author(s):  
Yuichiro Hiura ◽  
Shuji Takiguchi ◽  
Kazuyoshi Yamamoto ◽  
Yukinori Kurokawa ◽  
Makoto Yamasaki ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Fistula Formation ◽  
Fibrin Glue Sealant ◽  
Laparoscopic Assisted

Soft coagulation, polyglycolic acid felt, and fibrin glue for prevention of pancreatic fistula after distal pancreatectomy

Surgery Today ◽  
2011 ◽  
Vol 41 (9) ◽  
pp. 1224-1227 ◽  
Author(s):  
Toru Ikegami ◽  
Takashi Maeda ◽  
Hiroto Kayashima ◽  
Eiji Oki ◽  
Tomoharu Yoshizumi ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Soft Coagulation

Reinforcement of Pancreticojejunostomy Using Polyglycolic Acid Mesh and Fibrin Glue Sealant

Pancreas ◽  
2011 ◽  
Vol 40 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Sohei Satoi ◽  
Hideyoshi Toyokawa ◽  
Hiroaki Yanagimoto ◽  
Tomohisa Yamamoto ◽  
Satoshi Hirooka ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Polyglycolic Acid Mesh ◽  
Fibrin Glue Sealant

scholarly journals Wrapping the pancreas with a polyglycolic acid sheet before stapling reduces the risk of fluid collection on the pancreatic stump after distal pancreatectomy

2021 ◽  
Author(s):  
Ji Su Kim ◽  
Seoung Yoon Rho ◽  
Dong Min Shin ◽  
Munseok Choi ◽  
Chang Moo Kang ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Distal Pancreatectomy ◽  
Fluid Collection ◽  
International Study ◽  
Polyglycolic Acid ◽  
Previous Method ◽  
Tertiary Referral ◽  
Tertiary Referral Hospital ◽  
Pancreatic Stump ◽  
Resection Line

Abstract Background Postoperative pancreatic fistula (POPF) and postoperative fluid collection (POFC) are common complications after distal pancreatectomy (DP). The previous method of reducing the risk of POPF was the application of a polyglycolic acid (PGA) sheet to the pancreatic stump after cutting the pancreas with a stapler (After-stapling); the new method involves wrapping the pancreatic resection line with a PGA sheet before stapling (Before-stapling). The study aimed to compare the incidence of POPF and POFC between two methods. Methods Data of patients who underwent open or laparoscopic DPs by a single surgeon from October 2010 to February 2020 in a tertiary referral hospital were retrospectively analyzed. POPF was defined according to the updated International Study Group of Pancreatic Fistula criteria. POFC was measured by postoperative computed tomography (CT). Results Altogether, 182 patients were enrolled (After-stapling group, n = 138; Before-stapling group, n = 44). Clinicopathologic and intraoperative findings between the two groups were similar. Clinically relevant POPF rates were similar between both groups (4.3% vs. 4.5%, p = 0.989). POFC was significantly lesser in the Before-stapling group on postoperative day 7 (p < 0.001). Conclusions Wrapping the pancreas with PGA sheet before stapling was a simple and effective way to reduce POFC.

scholarly journals Feasibility of a modified search, coagulation, and clipping method with and without the use of polyglycolic acid sheets and fibrin glue for preventing delayed bleeding after gastric endoscopic submucosal dissection

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Satoshi Abiko ◽  
Soichiro Oda ◽  
Akimitsu Meno ◽  
Akane Shido ◽  
Sonoe Yoshida ◽  
...  
Keyword(s):  
High Risk ◽  
Endoscopic Submucosal Dissection ◽  
Median Time ◽  
Fibrin Glue ◽  
Polyglycolic Acid ◽  
Low Risk ◽  
R0 Resection ◽  
Antithrombotic Agents ◽  
Delayed Bleeding ◽  
Submucosal Dissection

Abstract Background Methods have been developed for preventing delayed bleeding (DB) after gastric endoscopic submucosal dissection (GESD). However, none of the methods can completely prevent DB. We hypothesized that DB could be prevented by a modified search, coagulation, and clipping (MSCC) method for patients at low risk for DB and by combining the use of polyglycolic acid sheets and fibrin glue with the MSCC method (PMSCC method) for patients at high risk for DB (antibleeding [ABI] strategy). This study assessed the technical feasibility of this novel strategy. Method We investigated 123 lesions in 121 consecutive patients who underwent GESD in Kushiro Rosai Hospital between April 2018 and January 2020. The decision for continuation or cessation of antithrombotic agents was based on the Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment. Results Oral antithrombotic agents were administered to 28 patients (22.8%). The en bloc R0 resection rate was 98.4%. The MSCC method and the PMSCC method for preventing DB were performed in 114 and 9 lesions, respectively. The median time of the MSCC method was 16 min, and the median speed (the resection area divided by the time of method used) was 3.6 cm2/10 min. The median time of the PMSCC method was 59 min, and the median speed was 1.3 cm2/10 min. The only delayed procedural adverse event was DB in 1 (0.8%) of the 123 lesions. Conclusions The ABI strategy is feasible for preventing DB both in patients at low risk and in those at high risk for DB after GESD, whereas the PMSCC method may be necessary for reduction of time.

scholarly journals Nonsuture dural repair using polyglycolic acid mesh and fibrin glue: clinical application to spinal surgery

2006 ◽  
Vol 65 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Kazutoshi Hida ◽  
Satoshi Yamaguchi ◽  
Toshitaka Seki ◽  
Shunsuke Yano ◽  
Minoru Akino ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Clinical Application ◽  
Spinal Surgery ◽  
Polyglycolic Acid ◽  
Dural Repair ◽  
Polyglycolic Acid Mesh
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