The performance of a hemostatic agent based on oxidized regenerated cellulose – polyglactin 910 composite in a liver defect model in immunocompetent and athymic rats

Neurosurgical hemostasis can be performed with bipolar coagulation and with the support of several dedicated biomaterials including oxidized regenerated cellulose (ORC; e.g., Surgicel®, Johnson & Johnson, New Brunswick, NJ, USA). Oxidized regenerated cellulose is a sterile absorbable fibrous biomaterial that has become a major local hemostatic agent thanks to its ease of use, favorable biocompatibility and bioabsorption characteristics. However, some postoperative issues associated with its use, such as allergic reaction, seroma, foreign-body reaction with compressive neuropathies and misdiagnosis during follow-up, have been reported. These complications could compromise clinical outcomes with a negative impact on patient quality of life and sometimes require risky major surgical procedures. An understanding of the specific properties of ORC combined with adequate surgical expertise and compliance with some basic rules are needed to optimize clinical outcomes and minimize postoperative issues.

Download Full-text

Development of Metal Ion Binded Oxidized Regenerated Cellulose Powder as Hemostatic Agent: A Comparative Study with in Vivo Performance

Industrial & Engineering Chemistry Research ◽

10.1021/ie504985b ◽

2015 ◽

Vol 54 (18) ◽

pp. 4906-4914 ◽

Cited By ~ 15

Author(s):

Zeynep Basagaoglu Demirekin ◽

Umran Aydemir Sezer ◽

Dilek Ulusoy Karatopuk ◽

Serdar Sezer

Keyword(s):

Comparative Study ◽

Metal Ion ◽

Hemostatic Agent ◽

Regenerated Cellulose ◽

Cellulose Powder ◽

Oxidized Regenerated Cellulose

Download Full-text

Hemostatic wound dressings: Predicting their effects by in vitro tests

Journal of Biomaterials Applications ◽

10.1177/0885328219831095 ◽

2019 ◽

Vol 33 (9) ◽

pp. 1285-1297 ◽

Cited By ~ 2

Author(s):

Cornelia Wiegand ◽

Martin Abel ◽

Uta-Christina Hipler ◽

Peter Elsner ◽

Michael Zieger ◽

...

Keyword(s):

Blood Clot ◽

Wound Dressings ◽

In Vitro Tests ◽

Regenerated Cellulose ◽

Oxidized Regenerated Cellulose ◽

Inflammatory Reactions ◽

In Vitro Techniques ◽

Cotton Gauze

Background Application of controlled in vitro techniques can be used as a screening tool for the development of new hemostatic agents allowing quantitative assessment of overall hemostatic potential. Materials and methods Several tests were selected to evaluate the efficacy of cotton gauze, collagen, and oxidized regenerated cellulose for enhancing blood clotting, coagulation, and platelet activation. Results Visual inspection of dressings after blood contact proved the formation of blood clots. Scanning electron microscopy demonstrated the adsorption of blood cells and plasma proteins. Significantly enhanced blood clot formation was observed for collagen together with β-thromboglobulin increase and platelet count reduction. Oxidized regenerated cellulose demonstrated slower clotting rates not yielding any thrombin generation; yet, led to significantly increased thrombin-anti-thrombin-III complex levels compared to the other dressings. As hemostyptica ought to function without triggering any adverse events, induction of hemolysis, instigation of inflammatory reactions, and initiation of the innate complement system were also tested. Here, cotton gauze provoked high PMN elastase and elevated SC5b-9 concentrations. Conclusions A range of tests for desired and undesired effects of materials need to be combined to gain some degree of predictability of the in vivo situation. Collagen-based dressings demonstrated the highest hemostyptic properties with lowest adverse reactions whereas gauze did not induce high coagulation activation but rather activated leukocytes and complement.

Download Full-text