The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma
Objective: To evaluate the use of Tisseel, a 2-component fibrin sealant agent for the control of minor bleeding and repair of the ovarian defect at the end of laparoscopic cystectomy (LC) of endometriomas. Materials and methods: From January 2011 to December 2015, an observational study of all patie...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-06-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455917300840 |
| _version_ | 1818308024468504576 |
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| author | Yu-Cheng Liu Yi-Chieh Li Hsin-Hong Kuo Chin-Jung Wang Kai-Yun Wu |
| author_facet | Yu-Cheng Liu Yi-Chieh Li Hsin-Hong Kuo Chin-Jung Wang Kai-Yun Wu |
| author_sort | Yu-Cheng Liu |
| collection | DOAJ |
| description | Objective: To evaluate the use of Tisseel, a 2-component fibrin sealant agent for the control of minor bleeding and repair of the ovarian defect at the end of laparoscopic cystectomy (LC) of endometriomas.
Materials and methods: From January 2011 to December 2015, an observational study of all patients who underwent LC of endometrioma using Tisseel (group A) was performed. The demographic and operative data, including age, body mass index, operative indications, operative time, estimated blood loss, complications, and postoperative hospital stay duration were recorded. A contemporary cohort of patients, who underwent LC of endometrioma without Tisseel (group B) was also retrospectively compared.
Results: A total of 274 patients were recruited in this study (53 LCs with Tisseel and 221 LCs without Tisseel, respectively). Complete hemostasis was achieved in all patients. The mean size of main mass was significantly larger in the group A than in the group B (7.8 ± 2.4 cm vs. 7.0 ± 2.3 cm, p = 0.033) but the mean operating time, operative blood loss, febrile morbidity, and length of hospitalization were not significantly different between the two groups.
Conclusion: This preliminary series demonstrated the use of Tisseel in LC of endometriomas without any bipolar coagulation and/or suturing of ovarian tissue is clinically safe and feasible. |
| first_indexed | 2024-12-13T07:07:42Z |
| format | Article |
| id | doaj.art-133fd1eeb3af4936894c9b36ecf61c69 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-13T07:07:42Z |
| publishDate | 2017-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-133fd1eeb3af4936894c9b36ecf61c692022-12-21T23:55:45ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592017-06-0156334234510.1016/j.tjog.2017.04.014The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometriomaYu-Cheng LiuYi-Chieh LiHsin-Hong KuoChin-Jung WangKai-Yun WuObjective: To evaluate the use of Tisseel, a 2-component fibrin sealant agent for the control of minor bleeding and repair of the ovarian defect at the end of laparoscopic cystectomy (LC) of endometriomas. Materials and methods: From January 2011 to December 2015, an observational study of all patients who underwent LC of endometrioma using Tisseel (group A) was performed. The demographic and operative data, including age, body mass index, operative indications, operative time, estimated blood loss, complications, and postoperative hospital stay duration were recorded. A contemporary cohort of patients, who underwent LC of endometrioma without Tisseel (group B) was also retrospectively compared. Results: A total of 274 patients were recruited in this study (53 LCs with Tisseel and 221 LCs without Tisseel, respectively). Complete hemostasis was achieved in all patients. The mean size of main mass was significantly larger in the group A than in the group B (7.8 ± 2.4 cm vs. 7.0 ± 2.3 cm, p = 0.033) but the mean operating time, operative blood loss, febrile morbidity, and length of hospitalization were not significantly different between the two groups. Conclusion: This preliminary series demonstrated the use of Tisseel in LC of endometriomas without any bipolar coagulation and/or suturing of ovarian tissue is clinically safe and feasible.http://www.sciencedirect.com/science/article/pii/S1028455917300840EndometriomaFibrin sealantLaparoscopyOvaryTisseel |
| spellingShingle | Yu-Cheng Liu Yi-Chieh Li Hsin-Hong Kuo Chin-Jung Wang Kai-Yun Wu The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma Taiwanese Journal of Obstetrics & Gynecology Endometrioma Fibrin sealant Laparoscopy Ovary Tisseel |
| title | The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma |
| title_full | The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma |
| title_fullStr | The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma |
| title_full_unstemmed | The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma |
| title_short | The use of fibrin sealant (Tisseel) in laparoscopic excision of ovarian endometrioma |
| title_sort | use of fibrin sealant tisseel in laparoscopic excision of ovarian endometrioma |
| topic | Endometrioma Fibrin sealant Laparoscopy Ovary Tisseel |
| url | http://www.sciencedirect.com/science/article/pii/S1028455917300840 |
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