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Minerva Chirurgica 2010 December;65(6):627-33

language: Italian

Hemostatic effectiveness of TachoSil® patches in radiofrequency assisted minor hepatic resection

Sandonato L. 1, Cipolla C. 1, Airò Farulla C. 1, Graceffa G. 1, Giannitrapani L. 3, Galia M. 2, Lombardo G. 1, Ferro G. 1, Lodato L. 2, Latteri M. A. 1

1 Divisione di Chirurgia Generale e Oncologica, Dipartimento di Oncologia, Unità Interdipartimentale per le neoplasie epatiche, Università di Palermo, Palermo, Italia;
2 Divisione di Scienze Radiologiche, Dipartimento di Biothecnologia e Medicina Legale, Unità Interdipartimentale per le neoplasie epatiche Università di Palermo, Palermo, Italia;
3 Divisione di Medicina Interna ed Epatologia Dipartimento di Medicina Clinica e Patologie d’Emergenza, Unità Interdipartimentale per le neoplasie epatiche Università di Palermo, Palermo, Italia


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AIM: Intra- and postoperative bleeding represents an extremely serious and frequent complication of hepatic surgery. The aim of this study was to evaluate the effectiveness of TachoSil® to improve hemostasis in radiofrequency assisted minor hepatic resection.
METHODS: Between July 2008 and June 2010, 31 patients underwent radiofrequency assisted minor hepatic resection. At the end of the liver resection a sponge of TachoSil® was applied on the liver.
RESULTS: The mean intraoperative bleeding from the liver was 56.1 mL (range 0-300 mL). No patients received intra- and postoperative blood transfusion. Surgical drains were removed between the first and the sixth-eight postoperative day.
CONCLUSION: According to the authors Tacho-sil® is helpful to improve hemostasis and biliary leakage in patients undergoing radiofrequency assisted minor hepatic resection.

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calogerocipolla@virgilio.it