Shunji Endo
   Department   Kawasaki Medical School  Kawasaki Medical School, Department of Digestive Surgery,
   Position   Associate Professor
Article types 原著
Language English
Peer review Peer reviewed
Title A simple application technique of fibrin-coated collagen fleece (TachoComb) in laparoscopic surgery.
Journal Formal name:Surgery today
Abbreviation:Surg Today
ISSN code:09411291/09411291
Domestic / ForeginForegin
Volume, Issue, Page 37(2),pp.176-9
Author and coauthor Nakajima Kiyokazu, Yasumasa Keigo, Endo Shunji, Takahashi Tsuyoshi, Kai Yasuyuki, Nezu Riichiro, Nishida Toshirou
Publication date 2007/01
Summary 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.
DOI 10.1007/s00595-006-3348-9
PMID 17243043