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Results for “Tampons, Surgical”

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At least 19 recordsLinked to original sources

Collagen sponge: theory and practice of medical applications.

Theoretical as well as practical-clinical applications of one form of collagen (collagen sponge) as a biodegradable material is reviewed. The role of porosity of the sponge and surface characteristics of the meshwork in relation to cell ingrowth are considered essential features of collagen sponge. Rate of resorption and antigenicity could be controlled by graded crosslinking of collagenous framework. Four basic examples of clinical use of collagen sponge are presented: as wound (burn) dressing material, as a matrix, for bone and cartilage repair, as an intravaginal contraceptive diaphragm, and as surgical tampons.

Antigens↗

Success of medical and surgical management of acute variceal hemorrhage.

Peripheral intravenous Pitressin infusion, use of the Sengstaken-Blakemore tube, or both effectively controlled variceal hemorrhage in 69 percent of patients, allowing an interval of medical management before elective portasystemic shunt surgery. Prolonged preoperative in-hospital management significantly improved hepatic function in initially poor risk patients. This improvement in hepatic function appeared to result in decreased postoperative morbidity and an operative mortality equal to that of good risk patients.

Adult↗

An "open-closed" technique for the treatment of necrotizing pancreatitis.

Open packing or closed continuous irrigation of the lesser sac are used for the debridement of acute necrotizing pancreatitis. Multiple explorations are often required with either technique, and morbidity remains high. The authors describe a new method of treatment combining laparostoma and continuous lavage. This technique permits continuous atraumatic débridement of necrotic tissues with closed continuous lavage while maintaining a readily available laparostoma for further exploration. The exposure and debridement of the necrotic pancreatic bed and isolation of the bowel, with construction of a closed continuous irrigation system and laparostoma, are described in detail.

Acute Disease↗

Managing epistaxis.

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Anesthesia, Local↗