Târcoveanu E, Lupaşcu Cr, Moldovanu R, Vlad N, Bradea C, Vasilescu A
Facultatea de Medicină Clinica I Chirurgie "I. Tănăsescu - Vl. Butureanu, "Universitatea de Medicină Si Farmacie "Gr.T. Popa" Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2007 Apr-Jun;111(2):396-401.
Adequate hemostasis is an important part of any surgical procedure, by open or minimally-invasive approach. The aim of this study was to evaluate the indications and the effect of absorbable fibrin-collagen patch--FCP (TachoComb).
We performed a retrospective study in the First Surgical Clinic Iaşi, during 2000-2006. We evaluated the use and the results of FCP in different types of surgical procedures.
A total of 245 patients underwent local hemostatic treatment during surgery. FCP was used in biliary surgery (50 patients), hepatic surgery (39 patients), surgery of the spleen (20 cases), pancreatic surgery (14), colo-rectal surgery (28), surgery of the thyroid gland (20), digestive sutures (39), thoracic surgery (3), surgery in retroperitoneum region (6), gynecologic and urologic procedures (7) and other types of surgical procedures (15). The results of the FCP use were: "very good" in 143 cases (58.4%), "good" at 64 cases (26.1%), "adequate" in 31 cases (12.6%) and "inadequate" at 7 patients (2.9%).
The efficacy of FCP in local hemostasis is excellent. The use of FCP decrease the rate of conversions in laparoscopic surgery and is essential for spleen preserving surgery. The use of FCP in the treatment of digestive fistula is inadequate. FCP (TachoComb) is too expansive for some surgical units.
充分止血是任何手术（无论是开放手术还是微创手术）的重要组成部分。本研究的目的是评估可吸收纤维蛋白-胶原蛋白贴片（FCP，速即纱）的适应证和效果。
我们于2000年至2006年在雅西第一外科诊所进行了一项回顾性研究。我们评估了FCP在不同类型手术中的使用情况和结果。
共有245例患者在手术期间接受了局部止血治疗。FCP用于胆道手术（50例）、肝脏手术（39例）、脾脏手术（20例）、胰腺手术（14例）、结直肠手术（28例）、甲状腺手术（20例）、消化道缝合（39例）、胸外科手术（3例）、腹膜后区域手术（6例）、妇科和泌尿外科手术（7例）以及其他类型的手术（15例）。使用FCP的结果为：“非常好”143例（58.4%），“好”64例（26.1%），“ adequate”31例（12.6%），“不足”7例（2.9%）。
FCP在局部止血方面疗效极佳。FCP的使用降低了腹腔镜手术中转开腹率，对保脾手术至关重要。FCP在治疗消化瘘方面效果不佳。FCP（速即纱）对一些手术科室来说过于昂贵。
