Hemostasis Using Tissue Glue in Laparoscopy: Discussion and Review

Overview

Objectives:
To discusse the usefulness of tissue glue and TachoComb (TC), a new hemostypticagent which combines the advantages of two reliable hemostyptic products-collagen fleece andfibrin glue in local hemostasis during laparoscopy.Setting: Department of Gynecology and Obstetrics, Endoscopic Training Centre, Hospital Kladno.Design: Review.Methods: Analysis of literary and clinical data.Results: In recent years, collagen fibers, gelatin sponges, oxidized cellulose and fibrin glue hasbeen developed, which are now widely used in postoperative hemostasis in laparoscopy. Anefficient use of these preparations shortens the duration of intervention procedures and reducespacient strain.Conclusions: Clinical studies demonstrate that hemorrhage from damage tissue important pelvicstructures can be successfully arrested and controlled using the laparoscope to apply tissue glue.At Czech study, sixteen patients have been effective treated with collagen-fibrin agent duringlaparoscopic operations. The elimination of hemorrhages after primary laparoscopic electrosur-gery and the effectiveness of this drug have been successfully tested.

Key words:
laparoscopy, tissue glue