Hemostasis of solid viscus trauma by intraparenchymal injection of fibrin glue
C. J. Hauser
Division of Trauma, Hollywood Presbyterian Medical Center, Los Angeles CA 90027.
Fibrin glue (FG) is an effective hemostatic agent applied topically to the
spleen. In this study, FG was found to be an effective hemostatic agent
when applied topically in standardized wounds of the canine liver, spleen,
and pancreas. It was markedly more effective, however, when injected
intraparenchymally. In a case of severe blunt trauma in a patient with
acute alcoholic hepatitis, intraparenchymal FG was lifesaving. Fibrin glue
is a useful adjunct in the management of trauma to all the abdominal solid
viscera. Intraparenchymal injection is the preferred mode of FG
application.
