A Comparative Efficacy Evaluation of Recombinant Topical Thrombin (RECOTHROM®) With A Gelatin Sponge Carrier Versus Topical Oxidized Regenerated Cellulose (TABOTAMP®/SURGICEL®) In A Porcine Liver Bleeding Model

Abstract Background: Several topical hemostats are available to help control surgical bleeding. Cutanplast is a highly absorbent and porous gelatin product that is available in Fast sponge and powder forms. This study investigated the hemostatic efficacy of Cutanplast Standard and Fast gelatin sponge and powder and Emosist oxidized regenerated cellulose (ORC) gauze in porcine liver and spleen surgical bleeding models.Methods: Cutanplast Standard and Fast gelatin sponge and Emosist ORC gauze were tested in liver abrasion/incision, liver puncture and spleen incision/puncture injuries, and Cutanplast Standard and Fast gelatin powder products were tested in liver abrasion/incision injuries. There were 13 liver injury (five abrasion, five incision and three puncture) and six spleen injury (three puncture and three incision sites) sites per animal.Results: Rapid hemostasis (≤ 2–5 min) was achieved in the liver abrasion and incision models with all Cutanplast gelatin sponge and powder products and Emosist ORC gauze, although in the liver incision model, time to hemostasis was > 5 min with Cutanplast Standard gelatin powder and Emosist ORC gauze. Rapid hemostasis occurred with Cutanplast Fast gelatin sponge and Emosist ORC gauze in the liver puncture and spleen puncture and incision models. In the spleen incision model, Cutanplast Standard gelatin sponge had a time to hemostasis approaching 10 min.Conclusion: Cutanplast gelatin sponge and powder products and Emosist ORC gauze may be suitable for surgical applications involving parenchymal organ bleeding, but certain products may perform better than others, including Cutanplast gelatin powder in diffuse mild bleeding (such as liver abrasion), and Cutanplast Fast gelatin sponge and Emosist ORC gauze for splenic bleeding.

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Comparison of the efficacy of five standard topical hemostats: a study in porcine liver and spleen models of surgical bleeding

10.21203/rs.3.rs-32186/v2 ◽

2020 ◽

Author(s):

Valerio Antonio Paternò ◽

Alessandro Bisin ◽

Alessandro Addis

Keyword(s):

Liver Injury ◽

Gelatin Sponge ◽

Regenerated Cellulose ◽

Oxidized Regenerated Cellulose ◽

Porcine Liver ◽

Surgical Bleeding ◽

Hemostatic Efficacy ◽

Better Than

Abstract Background: Several topical hemostats are available to help control surgical bleeding. Cutanplast is a highly absorbent and porous gelatin product that is available in Fast sponge and powder forms. This study investigated the hemostatic efficacy of Cutanplast Standard and Fast gelatin sponge and powder and Emosist oxidized regenerated cellulose (ORC) gauze in porcine liver and spleen surgical bleeding models.Methods: Cutanplast Standard and Fast gelatin sponge and Emosist ORC gauze were tested in liver abrasion/incision, liver puncture and spleen incision/puncture injuries, and Cutanplast Standard and Fast gelatin powder products were tested in liver abrasion/incision injuries. There were 13 liver injury (five abrasion, five incision and three puncture) and six spleen injury (three puncture and three incision sites) sites per animal.Results: Rapid hemostasis (≤ 2–5 min) was achieved in the liver abrasion and incision models with all Cutanplast gelatin sponge and powder products and Emosist ORC gauze, except in the liver incision model, time to hemostasis was > 5 min with Cutanplast Standard gelatin powder and Emosist ORC gauze. Rapid hemostasis occurred with Cutanplast Fast gelatin sponge and Emosist ORC gauze in the liver puncture and spleen puncture and incision models. In the spleen incision model, Cutanplast Standard gelatin sponge had a time to hemostasis approaching 10 min.Conclusion: Cutanplast gelatin sponge and powder products and Emosist ORC gauze may be suitable for surgical applications involving parenchymal organ bleeding, but certain products may perform better than others, including Cutanplast gelatin powder in diffuse mild bleeding (such as liver abrasion), and Cutanplast Fast gelatin sponge and Emosist ORC gauze for splenic bleeding.

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Comparison of the efficacy of five standard topical hemostats: a study in porcine liver and spleen models of surgical bleeding

BMC Surgery ◽

10.1186/s12893-020-00874-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Valerio Antonio Paternò ◽

Alessandro Bisin ◽

Alessandro Addis

Keyword(s):

Liver Injury ◽

Gelatin Sponge ◽

Regenerated Cellulose ◽

Oxidized Regenerated Cellulose ◽

Porcine Liver ◽

Surgical Bleeding ◽

Hemostatic Efficacy ◽

Better Than

Abstract Background Several topical hemostats are available to help control surgical bleeding. Cutanplast is a highly absorbent and porous gelatin product that is available in Fast sponge and powder forms. This study investigated the hemostatic efficacy of Cutanplast Standard and Fast gelatin sponge and powder and Emosist oxidized regenerated cellulose (ORC) gauze in porcine liver and spleen surgical bleeding models. Methods Cutanplast Standard and Fast gelatin sponge and Emosist ORC gauze were tested in liver abrasion/incision, liver puncture and spleen incision/puncture injuries, and Cutanplast Standard and Fast gelatin powder products were tested in liver abrasion/incision injuries. There were 13 liver injury (five abrasion, five incision and three puncture) and six spleen injury (three puncture and three incision sites) sites per animal. Results Rapid hemostasis (≤ 2–5 min) was achieved in the liver abrasion and incision models with all Cutanplast gelatin sponge and powder products and Emosist ORC gauze, except in the liver incision model, time to hemostasis was > 5 min with Cutanplast Standard gelatin powder and Emosist ORC gauze. Rapid hemostasis occurred with Cutanplast Fast gelatin sponge and Emosist ORC gauze in the liver puncture and spleen puncture and incision models. In the spleen incision model, Cutanplast Standard gelatin sponge had a time to hemostasis approaching 10 min. Conclusion Cutanplast gelatin sponge and powder products and Emosist ORC gauze may be suitable for surgical applications involving parenchymal organ bleeding, but certain products may perform better than others, including Cutanplast gelatin powder in diffuse mild bleeding (such as liver abrasion), and Cutanplast Fast gelatin sponge and Emosist ORC gauze for splenic bleeding.

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A comparison between 2 absorbable hemostatic agents: gelatin sponge (Spongostan®) and oxidized regenerated cellulose (Surgicel®)

International Journal of Oral Surgery ◽

10.1016/s0300-9785(84)80066-6 ◽

1984 ◽

Vol 13 (5) ◽

pp. 406-410 ◽

Cited By ~ 40

Author(s):

Jens Kølsen Petersen ◽

Jens Krogsgaard ◽

Karen Marie Nielsen ◽

Erling B. Nørgaard

Keyword(s):

Gelatin Sponge ◽

Regenerated Cellulose ◽

Oxidized Regenerated Cellulose ◽

Hemostatic Agents

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Clinical observation of the regeneration process of defects after breast cancer resection

BMC Women s Health ◽

10.1186/s12905-021-01219-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jun-jie Li ◽

Ye Yang ◽

Qi Wan ◽

Hui Li ◽

Qi-ming Long ◽

...

Keyword(s):

Breast Cancer ◽

Operation Time ◽

Breast Conserving Surgery ◽

Gelatin Sponge ◽

Regenerated Cellulose ◽

Average Weight ◽

Oxidized Regenerated Cellulose ◽

Surgery Group ◽

Good Cosmetic ◽

Cosmetic Effect

Abstract Background The present study aims to use two different kinds of filling materials, oxidized regenerated cellulose and gelatin sponge, to repair defects of breast-conserving surgery due to breast cancer, and compare the clinical efficacy, cosmetic effect and complication rate among groups. Methods A total of 125 patients, who had breast -conserving surgery due to breast cancer, were enrolled into the present study. Postoperative efficacy was assessed by a doctor and patient, according to the Harvard/NSABP/RTOG Breast Cosmetic Grading Scale. Results Among these patients, 41 patients received conventional breast-conserving surgery, and 84 patients received breast-conserving surgery plus filling implantation (41 patients in the oxidized regenerated cellulose group and 43 patients in the gelatin sponge group). All patients had small to medium sized breasts (cup size A and B). The average weight of tumor tissues was 56.61 ± 11.57 g in the conventional breast-conserving surgery group, 58.41 ± 8.53 g in the oxidized regenerated cellulose group, and 58.77 ± 9.90 g in the gelatin sponge group. The difference in pathological factors, average operation time, length of stay and local infection rate was not statistically significant among the three groups. 18 patients in the oxidized regenerated cellulose group and 15 patients in the gelatin sponge group were evaluated to have a good cosmetic effect by the surgeon and patient, while 12 patients in the conventional breast-conserving surgery group were evaluated to be have good cosmetic effect by the surgeon and patient. The cosmetic effects in the oxidized regenerated cellulose group and gelatin sponge group were comparable, and these were superior to those in the conventional breast-conserving surgery group. Conclusion The use of oxidized regenerated cellulose and gelatin sponge is a feasible approach for defect repair after breast-conserving surgery.

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An efficacy evaluation study of a novel oxidized regenerated cellulose, Surgiguard ® in abdominal surgery using porcine model

HPB ◽

10.1016/j.hpb.2016.02.782 ◽

2016 ◽

Vol 18 ◽

pp. e304-e305

Author(s):

S.H. Kim ◽

H.S. Yoon ◽

C.H. In ◽

K.S. Kim

Keyword(s):

Abdominal Surgery ◽

Porcine Model ◽

Evaluation Study ◽

Regenerated Cellulose ◽

Oxidized Regenerated Cellulose ◽

Efficacy Evaluation

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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.

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