A Cost Effective Delivery System for FloSeal® During Endoscopic and Microscopic Brain Surgery: Technical Note.

A Cost Effective Delivery System for FloSeal® During Endoscopic and Microscopic Brain Surgery: Technical Note.

World Neurosurg. 2016 Mar 14;

Authors: Brand Y, Narayanan V, Prepageran N, Waran V

Abstract
OBJECTIVE: In this technical note we share our experience with a new delivery system for the flowable, haemostatic, matrix, FloSeal® (Baxter, Deerfield, IL, USA), in endoscopic and microscopic skull base surgery.
METHODS: We prospectively analyzed the use of FloSeal(®) with a hemostatic delivery system in transnasal endoscopic and microscopic skull base procedures performed at the authors' institution from 1.1.2015 to 30.6.15. In all cases the number of aliquots were noted for the entire operation and also the total number of FloSeal(®) ampules of 5 ml was recorded.
RESULTS: Our device allowed controlled application of small amount (0.5 - 1 ml) of FloSeal(®) to the site of bleeding. This controlled application resulted not only in increased visibility during its application, but also reduced the amount of FloSeal(®) required during the procedure. We were able to use 5-10 application per 5 ml ampule of FloSeal(®) within an individual procedure. No procedure required more than one 5 ml ampule of FloSeal(®). Therefore, the use of our device results in a reduction of costs. Prior to the use of our device, we were often only able to use the material of one vial of 5 ml for one or two applications - especially in transnasal endoscopic procedures when working along a deep corridor.
CONCLUSIONS: Our results indicate that our delivery device of FlowSeal(®) can effectively control hemostasis by applying small amounts of FlowSeal(®) to the site of bleeding. This results in increased visibility during hemostasis and reduction of cost.

PMID: 26987637 [PubMed - as supplied by publisher]

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