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A Polymeric Sealant Inhibits Anastomotic Suture Hole Bleeding More Rapidly Than Gelfoam/Thrombin—Invited Critique
Gregory P. Victorino, MD
Oakland, Calif
Arch Surg. 2002;137:332.
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The authors are to be commended on a well-conducted study. Bleeding is a continual concern for all surgeons; however, vascular PTFE graft suture hole bleeding is usually not a significant clinical problem. This is exemplified nicely in this study since the benefit of the polymeric sealant was just a 3-minute time saving. The use of proper technique can affect suture hole bleeding significantly. During the placement of PTFE grafts, the operating surgeon must be careful while placing the sutures and meticulously follow the curve of the needle as the needle is withdrawn from the graft. This maneuver alone can reduce bleeding from suture holes. The authors studied extremity revascularization and hemodialysis access procedures but a more appropriate study would have involved intra-abdominal vascular procedures where postoperative bleeding can be more problematic. One scenario in which there may be a clear benefit of the polymeric sealant is . . . [Full Text of this Article]
RELATED ARTICLE
A Polymeric Sealant Inhibits Anastomotic Suture Hole Bleeding More Rapidly Than Gelfoam/Thrombin: Results of a Randomized Controlled Trial
Marc Glickman, Ali Gheissari, Samuel Money, John Martin, Jeffrey L. Ballard, and for the CoSeal Multicenter Vascular Surgery Study Group
Arch Surg. 2002;137(3):326-331.
ABSTRACT
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A Glass Half Full
Martin
Arch Surg 2003;138:227-227.
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