Prêtre R, Mentha G, Robert J, Rohner A
Département de Chirurgie, Hôpital Cantonal Universitaire, Genève, Suisse.
J Chir (Paris). 1991 Oct;128(10):448-50.
A polyglycolic acid net (Vicryl) has been applied against the hepatectomy section of 27 patients (14% of all our liver resections) to complete its hemostasis. The indications for the use of this net were: the persistence of blood oozing and/or the necessity to shorten the operation. In one patient suffering from severe coagulopathy, active bleeding continued until the patient died; another patient bled until his blood dyscrasia was corrected. One case of abscess was encountered, and treated through a percutaneous approach. Although the achievement of perfect hemostasis is usual in surgical exeresis of the liver, a minority of patients can present with resistant bleeding of the resection slice, for which packing with a net may prove to be useful.
已将聚乙醇酸网（薇乔）应用于27例患者（占我们所有肝切除术的14%）的肝切除断面，以实现止血。使用该网的指征为：持续渗血和/或有必要缩短手术时间。1例患有严重凝血病的患者持续出血直至死亡；另1例患者出血直至其血液系统异常得到纠正。遇到1例脓肿，通过经皮途径进行了治疗。尽管在肝脏手术切除中实现完美止血很常见，但少数患者可能会出现切除断面顽固性出血，对于这种情况，用网填塞可能会有用。
