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Ethicon 1961 - HEMOSTAT, ABSORB, SURGICEL FIBRILLAR, 1X2, 10/BX
SURGICEL FIBRILLAR Absorbable Hemostat
SURGICEL FIBRILLAR Absorbable Haemostat (oxidized regenerated cellulose) is used adjunctively in surgical procedures to assist in the control of capillary, venous, and small arterial hemorrhage when ligation or other conventional methods of control are impractical or ineffective. The lightweight, layered structure of SURGICEL FIBRILLAR Absorbable Hemostat "melts" into bleeding tissue and can be used at multiple sites. One layer is more effective than 4 layers of SURGICEL Original Hemostat.
SURGICEL Absorbable Hemostat is a sterile absorbable knitted fabric prepared by the controlled oxidation of regenerated cellulose. The fabric is white with a pale yellow cast and has a faint, caramel-like aroma. It is strong and can be sutured or cut without fraying. It is stable and should be stored at controlled room temperature. A slight discoloration may occur with age, but this does not affect performance. The SURGICEL FIBRILLAR form of the product allows the surgeon to grasp with forceps any amount of SURGICEL FIBRILLAR Hemostat needed to achieve hemostasis at a particular bleeding site. The SURGICEL FIBRILLAR form may be more convenient than the knitted form for hard to reach or irregularly shaped bleeding sites. Although it is easy to pull the desired amount of SURGICEL FIBRILLAR Hemostat from the entire supply, the group of selected fibers continue to cohere to one another and application to the bleeding site is easily controlled. Unwanted dispersal over the operative site does not occur.
Features & Benefits
SURGICEL Absorbable Hemostat (oxidized regenerated cellulose) is used adjunctively in surgical procedures to assist in the control of capillary, venous, and small arterial hemorrhage when ligation or other conventional methods of control are impractical or ineffective. SURGICEL ORIGINAL, SURGICEL FIBRILLAR and& SURGICEL NU-KNIT Hemostats can be cut to size for use in endoscopic procedures.
The mechanism of action whereby SURGICEL Absorbable Hemostat accelerates clotting is not completely understood, but it appears to be a physical effect rather than any alteration of the normal physiologic clotting mechanism. After SURGICEL Absorbable Hemostat has been saturated with blood, it swells into a brownish or black gelatinous mass which aids in the formation of a clot, thereby serving as a hemostatic adjunct in the control of local hemorrhage. When used properly in minimal amounts, SURGICEL Absorbable Hemostat is absorbed from the sites of implantation with practically no tissue reaction. Absorption depends upon several factors including the amount used, degree of saturation with blood, and the tissue bed. In addition to its local hemostatic properties, SURGICEL Absorbable Hemostat is bactericidal in vitro against a wide range of gram positive and gram negative organisms including aerobes and anaerobes. SURGICEL Absorbable Hemostat is bactericidal in vitro against strains of species including those of:
SURGICEL Absorbable Hemostat (oxidized regenerated cellulose) has been found useful in helping to control capillary or venous bleeding in a variety of surgical applications, including abdominal, thoracic, neurosurgical, and orthopedic, as well as in otorhinolaryngologic procedures. Examples include gallbladder surgery, partial hepatectomy, hemorrhoidectomy, resections or injuries of the pancreas, spleen, kidney, prostate, bowel, breast or thyroid, and in amputations. SURGICEL Absorbable Hemostat has been applied as a surface dressing on donor sites and superficial open wounds, controlling bleeding adequately, and causing no delay in healing or interference with epithelization. It also has been applied after dermabrasion, punch biopsy, excision biopsy, curettage, finger and toenail removal, and to traumatic wounds. In the foregoing applications, bleeding was controlled and the SURGICEL Absorbable Hemostat was absorbed from the sites where it was applied.
In cardiovascular surgery, investigators have found SURGICEL Absorbable Hemostat useful in helping to control bleeding from implanted textile grafts, including those of the abdominal aorta. Such grafts may leak or weep considerably, even when pre-clotted, but this seepage can be controlled by covering the graft with a layer or two of SURGICEL Absorbable Hemostat after the graft is in place and before releasing the proximal and distal clamps. When the flow has been reestablished and all the bleeding controlled, the fabric either can be removed or left in situ, since absorption of SURGICEL Absorbable Hemostat has been shown to occur without constriction of the graft or other untoward incidents when proper wrapping technique is employed.
Otorhinolaryngologic experience with SURGICEL Absorbable Hemostat includes adjunctive use in controlling bleeding resulting from epistaxis, tonsillectomy, adenoidectomy, removal of nasal polyps, repair of deviated septum, tympanoplasty, Stapes surgery, surgery for sinusitis, and removal of tumors. SURGICEL Absorbable Hemostat has been reported useful as a hemostatic adjunct in such gynecologic procedures as oophorectomy, hysterectomy, conization of the cervix, and repair of cystorectocele.