Kawashima Takayuki, Shuto Takashi, Mori Kazuki, Yamauchi Hidetaka, Wada Takeshi, Miyamoto Shinji
Department of Cardiovascular Surgery, Oita University, Yufu, Oita, Japan.
Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.nmt.25-00073. Epub 2025 Aug 30.
Intraoperative venous bleeding, particularly from deep pelvic veins, can be difficult to control with suturing or standard compression. We introduce the "French toast method," a hemostatic technique that combines Hydrofit (Terumo, Tokyo, Japan) with a gelatin sponge (Spongel; LTL Pharma, Tokyo, Japan). A small amount of Hydrofit is spread onto the sponge, which is then applied to the bleeding site. Immediately afterward, saline is poured over the area to activate Hydrofit, followed by fingertip compression. This method enables rapid and secure hemostasis without the need to remove a silicone sheet, thereby reducing the risk of rebleeding and simplifying management of difficult venous hemorrhage.
术中静脉出血，尤其是来自盆腔深部静脉的出血，采用缝合或标准压迫方法可能难以控制。我们介绍一种“法式吐司法”，这是一种将Hydrofit（日本东京泰尔茂公司）与明胶海绵（Spongel；日本东京LTL制药公司）相结合的止血技术。将少量Hydrofit涂抹在海绵上，然后将其应用于出血部位。之后立即在该区域倒上盐水以激活Hydrofit，随后用指尖压迫。这种方法能够实现快速、可靠的止血，无需移除硅胶片，从而降低再出血风险并简化对困难静脉出血的处理。
