The use of haemostatic gelatin sponges in veterinary surgery
The use of haemostatic gelatin sponges in veterinary surgery
复制标题
DOI：
10.1111/j.1748-5827.2011.01162.x
复制
发表时间：
2012-01-01
影响因子：
1.6
通讯作者：
Anderson, D. M.
中科院分区：
文献类型：
--
作者：
Charlesworth, T. M.;Agthe, P.;Anderson, D. M.
目的：描述可吸收明胶海绵作为止血植入物在临床兽医外科病例中的应用，并记录任何相关的术后并发症。方法：在数据库中检索产品名称“Gelfoam”和“Spongostan”。检索患者记录，并记录和回顾有关患者信号、手术程序、国家资源委员会（NRC）伤口分类、出血来源、术前和术后体温、术后并发症、出院时间和任何术后影像学细节的数据。通过重复临床检查或与饲主或转诊兽医的电话访谈获得随访信息。手术记录不完整或未从麻醉中恢复的病例排除在分析之外。结果：50例（狗44只，猫6只）符合纳入标准。49例获得满意的止血效果，其中1例需要再次手术，期间再次使用明胶海绵。在随访期间（中位13个月），未发现与明胶海绵使用相关的超敏反应或确认的术后并发症。临床意义：本文首次综述了明胶海绵在临床兽医手术中的应用，提示明胶海绵在猫和狗的治疗中是安全的。
OBJECTIVES: To describe the use of absorbable gelatin sponges as haemostatic implants in clinical veterinary surgical cases and to document any related postoperative complications.METHODS: Practice databases were searched for the product names "Gelfoam" and "Spongostan". Patient records were retrieved and data regarding patient signalment, surgical procedure, National Resource Council (NRC) wound classification, source of haemorrhage, pre- and postoperative body temperature, postoperative complications, time to discharge and details of any postoperative imaging were recorded and reviewed. Follow-up information was obtained by repeat clinical examination or telephone interview with either the owner or referring veterinary surgeon. Cases with incomplete surgical records or those which were not recovered from anaesthesia were excluded from the analysis.RESULTS: Fifty cases (44 dogs and 6 cats) satisfied the inclusion criteria. Satisfactory haemostasis was achieved in 49 cases with one case requiring reoperation during which a second gelatin sponge was used. There were no detected hypersensitivity responses or confirmed postoperative complications relating to the use of gelatin sponges during the follow-up period (median 13 months).CLINICAL SIGNIFICANCE: This is the first review of the use of gelatin sponges in clinical veterinary surgery and suggests that gelatin sponges are safe to use in cats and dogs.