two-layer sheet of gelatin: a new topical hemostatic agent

two-layer sheet of gelatin: a new topical hemostatic agent

;Toshitaka Takagi;Hiroyuki Tsujimoto;Hiroko Torii;Yuki Ozamoto;Akeo Hagiwara
journal of molecular structure 2018 Vol. 41 pp. 124-130
97
takagi2018asiantwo-layer

Abstract

Background/objective: Uncontrolled surgical bleeding is associated with increased morbidity, mortality, and hospital cost. Topical hemostatic agents available today have problems controlling hemostatic effects; furthermore, their handling is difficult and they are unsafe. Methods: We devised a new hemostatic agent comprising gelatin sponge and film designed to be applied to the bleeding site, thereby creating a topical hemostatic agent made of gelatin alone. The gelatin was prepared by alkali treatment to eliminate viral activity. Hemostatic effects, surgical handling, and tissue reactions of the materials, namely a two-layer sheet of gelatin, TachoSil, and gelatin sponge, were evaluated using 21 dogs' spleens. Results: The two-layer gelatin sheet and gelatin sponge exhibited superior hemostatic effects (100% hemostasis completed) compared with TachoSil (0–17% hemostasis). The gelatin matrix immediately absorbed blood flowing from wounds and activated the autologous components in the absorbed blood that promoted coagulation at the bleeding site. The two-layer gelatin sheet had the best surgical handling among the evaluated materials. Materials made of gelatin were associated with fewer inflammatory reactions compared with materials of TachoSil. Conclusion: The two-layer sheet of gelatin is a useful topical agent because of its superior hemostatic effects and usability, and is associated with a lower risk of transmitting diseases and inflammatory reactions.

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0x95644003c57E6F55A65596E3D9Eac6813e3566dA
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204936
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10.1016/j.asjsur.2016.09.007
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