Application of absorbable Surgiflo haemostatic matrix in endoscopic transsphenoidal pituitary adenomectomy
10.3760/cma.j.issn.1671-8925.2016.11.015
- VernacularTitle:可吸收止血流体明胶在神经内镜下经鼻蝶入路垂体腺瘤切除术中的应用价值分析
- Author:
Dongsheng HE
1
;
Zongming WANG
;
Zhigang MAO
Author Information
1. 中山大学附属第一医院神经外科
- Keywords:
Endoscope;
Pituitary adenoma;
Haemostasis;
Absorbable Surgiflo haemosatic matrix
- From:
Chinese Journal of Neuromedicine
2016;15(11):1164-1166
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the hemostatic efficacy of absorbable Surgiflo haemosatic matrix (trade name:Surgiflo) in endoscopic transsphenoidal pituitary adenomectomy.Methods A total of 40 patients performed endoscopic transsphenoidal pituitary adenomectomy in our hospital from January 2016 to June 2016,were recruited in our study;16 had tumor cavity bleeding and 24 had cavernous sinus/intercavernous sinus bleeding;10 patients had Grade 2 bleeding,21 Grade 3 bleeding,9 Grade 4 bleeding and none had Grade 5 bleeding.Surgiflo was used during the surgery.The clinical data and hemostatic efficacy of these patients were retrospectively analyzed.Results In 40 patients,36 patients achieved haemostasis only by Surgiflo and 4 by Surgiflo with electrocoaulation,bone wax,and hemostatic gauze.Patients with Grade 2,3 and 4 bleeding had 1,1.5 and 2.5 times of spray with Surgiflo.Postoperative CT revealed no bleeding.No advance reactions were recorded after one month of follow-up.Conclusion Surgiflo enjoys good,fast and safe haemostasis efficacy in endoscopic transsphenoidal pituitary adenomectomy,which is appropriate to tumor cavity bleeding,cavernous sinus/ intercavemous sinus bleeding in transsphenoidal pituitary adenomectomy.
