Abstract
A fibrin-coated collagen fleece (TachoComb, Nycomed, Denmark) is a powerful topical hemostatic agent, which has been aggressively used in conventional open surgery with a favorable clinical outcome. However, the use of TachoComb in laparoscopic surgery has not yet gained wide clinical acceptance, because a simple and well-functioning application system is not available. The authors have newly developed a quick, simple, and effective laparoscopic TachoComb application technique: housing a small strip of TachoComb in a rubber tube, then conveying it into the peritoneal cavity, and applying it using standard laparoscopic forceps. The repeated application of TachoComb strips is feasible and of practical value especially in laparoscopic surgery, since a small TachoComb never compromises either the application procedure or laparoscopic visualization.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
RM Newman LW Traverso (1999) Principles of laparoscopic hemostasis CEH Scott-Conner (Eds) The SAGES manual Springer Berlin Heidelberg New York 57–61
GB Agus AV Bono E Mira S Olivero A Peilowich E Homdrum et al. (1996) ArticleTitleHemostatic efficacy and safety of TachoComb in surgery Int Surg 81 316–9 Occurrence Handle9028999 Occurrence Handle1:STN:280:DyaK2s7otVOrsw%3D%3D
SD Schwaitzberg MW Chan DJ Cole M Read T Nichols D Bellinger et al. (2004) ArticleTitleComparison of poly-N-acetyl glucosamine with commercially available topical hemostats for achieving hemostasis in coagulopathic models of splenic hemorrhage J Trauma 57 S29–32 Occurrence Handle15280748 Occurrence Handle1:CAS:528:DC%2BD2cXnslOju74%3D
J Bingener-Casey ML Richards WE Strodel WH Schwesinger KR Sirinek (2002) ArticleTitleReasons for conversion from laparoscopic to open cholecystectomy: a 10-year review J Gastrointest Surg 6 800–5 Occurrence Handle12504217 Occurrence Handle10.1016/S1091-255X(02)00064-1
H Osada TK Fujii H Tanaka K Tsubata T Yoshida K Satoh (1998) ArticleTitleThe clinical significance of “TachoComb,” a fibrin adhesive in sheet form Surg Technol Int 7 31–5
G Schelling T Block E Blanke C Hammer W Brendel M Gokel (1987) ArticleTitleThe effectiveness of a fibrinogen-thrombin-collagen-based hemostatic agent in an experimental arterial bleeding model Ann Surg 205 432–5 Occurrence Handle2436584 Occurrence Handle10.1097/00000658-198704000-00015 Occurrence Handle1:CAS:528:DyaL2sXktFOmsrY%3D
JR Izbicki T Kreusser M Meier KL Prenzel WT Knoefel B Passlick et al. (1994) ArticleTitleFibrin-glue-coated collagen fleece in lung surgery–experimental comparison with infrared coagulation and clinical experience Thorac Cardiovasc Surg 42 306–9 Occurrence Handle7863495 Occurrence Handle1:STN:280:DyaK2M7mslKmtQ%3D%3D Occurrence Handle10.1055/s-2007-1016510
M Scheyer G Zimmermann (1996) ArticleTitleTachocomb used in endoscopic surgery Surg Endosc 10 501–3 Occurrence Handle8658326 Occurrence Handle10.1007/s004649910098 Occurrence Handle1:STN:280:DyaK283ntVajtA%3D%3D
H Hosoda (2001) ArticleTitleThe use of Tachocomb in thoracoscopic lung resection: “W-gathering” technique (in Japanese) Iyaku No Mon 41 589–91
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakajima, K., Yasumasa, K., Endo, S. et al. A Simple Application Technique of Fibrin-Coated Collagen Fleece (TachoComb) in Laparoscopic Surgery. Surg Today 37, 176–179 (2007). https://doi.org/10.1007/s00595-006-3348-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-006-3348-9