Ethicon Surgicel Original Absorbable Hemostat

Features of Surgicel Original Absorbable Hemostat

• Made of oxidized regenerated cellulose, which is a plant-based material that is naturally absorbed by the body within four to six weeks after use
• Designed to stop bleeding quickly by absorbing blood and other fluids, forming a gel-like substance that adheres to the tissue and creates a physical barrier to further bleeding
• Made of a material that is biocompatible and does not cause any harm or adverse reactions when in contact with bodily tissues
• It is sterilized using ethylene oxide gas to ensure that it is free from bacteria and other microorganisms that could cause infection
• Available in various sizes and shapes, making it suitable for use in different surgical procedures where there is a risk of significant bleeding
• Easy to handle and can be cut or shaped to fit the specific area where bleeding needs to be controlled
• Surgicel Dressing has been used in surgical procedures for many years and has a proven safety record when used as directed by trained medical professionals

How does Surgicel work?

• The mechanism of action whereby Surgicel Original Hemostat accelerates clotting is not completely understood. Still, it appears to be a physical effect rather than any normal physiologic clotting mechanism alteration. 
• After Ethicon Surgicel Hemostat has been saturated with blood, it swells into a brownish or black gelatinous mass which aids in the formation of a clot, thereby serving as a hemostatic adjunct in the control of local hemorrhage. 
• When used properly in minimal amounts, it is absorbed from the sites of implantation with practically no tissue reaction. Absorption depends upon several factors, including the amount used, the degree of saturation with blood, and the tissue bed. 
• In addition to its local hemostatic properties, Surgicel Absorbable Hemostat is bactericidal in vitro against a wide range of gram-positive and gram-negative organisms, including aerobes and anaerobes.

When to use this Surgicel Hemostat?

• Intraoperative bleeding: Surgicel can be used to control bleeding during surgery when other methods, such as electrocautery or ligature, are not sufficient.
• Bleeding from vascular access sites: Used to control bleeding from vascular access sites, such as catheter insertion sites or arteriovenous fistulas.
• Bleeding from bone surfaces: Used to control bleeding from bone surfaces during orthopedic surgery, such as joint replacement or spinal surgery.
• Bleeding from parenchymal organs: Used to control bleeding from parenchymal organs, such as the liver or spleen, during surgical procedures.
• Bleeding from oral tissues: Used to control bleeding from oral tissues during dental surgery, such as tooth extractions or implant placement.

Contraindications

• Although packing or wadding sometimes is medically necessary, SURGICEL Absorbable Hemostat should not be used in this manner unless it is to be removed after hemostasis is achieved.
• Surgicel Hemostat should not be used for implantation in bone defects, such as fractures, since there is a possibility of interference with callus formation and a theoretical chance of cyst formation.
• When Surgicel Absorbable Hemostat is used to help achieve hemostasis in, around, or in proximity to foramina in bone, areas of bony confine, the spinal cord, or the optic nerve and chiasm, it must always be removed after hemostasis is achieved since it will swell and could exert unwanted pressure.
• It should not be used to control hemorrhage from large arteries.
• It should not be used on non-hemorrhagic serous oozing surfaces since body fluids other than whole blood, such as serum, do not react with Surgicel dressing to produce a satisfactory hemostatic effect.
• Surgicel dressing is an absorbable hemostat and should not be used as an adhesion prevention product.

Frequently Bought Together

• Dynarex Cotton Balls
• Medline Sureprep Skin Protectant Wipe
• Bard Medi-Aire Biological Odor Eliminator

How to use Surgicel Absorbable Hemostat Dressing?

• Surgicel Original Absorbent Dressing should be cut to the appropriate size for endodcopic placement. Standard endoscopic procedures should be used to the point of placement of the hemostat. Grasp the Ethicon Surgicel Absorbable Hemostat at one corner.
• Slowly push the grasping instrument and material into the cavity.
• With grasping instruments in a second and third auxiliary site, placement can be made and the material repositioned as needed.

      

 

Surgicel Dressing User Manual
 

Dosage and Asministration:

• Sterile technique should be observed in removing Surgicel Absorbable Hemostat from its envelope.
• Minimal amounts of Hemostat of appropriate size are laid on the bleeding site or held firmly against the tissues until hemostasis is obtained.
• Opened, unused dressing should be discarded, because it cannot be resterilized.

Precautions:

• Use only as much Surgicel as is necessary for hemostasis, holding it firmly in place until bleeding stops.
• Remove any excess before surgical closure in order to facilitate absorption and minimize the possibility of foreign body reaction.
• In urological procedures, minimal amounts of Surgicel Absorbable Hemostat should be used and care must be exercised to prevent plugging of the urethra, ureter, or a catheter by dislodged portions of the product.
• Since absorption of this could be prevented in chemically cauterized areas, its use should not be preceded by the application of silver nitrate or any other escharotic chemicals.
• If Surgicel is used temporarily to line the cavity of large open wounds, it should be placed so as not to overlap the skin edges.
• It should also be removed from open wounds by forceps or by irrigation with sterile water or saline solution after bleeding has stopped.
• Precautions should be taken in otorhinolaryngologic surgery to assure that none of the material is aspirated by the patient. (Examples: controlling hemorrhage after tonsillectomy and controlling epistaxis.)
• Care should be taken not to apply to dressing too tightly when it is used as a wrap during vascular surgery (see Adverse Reactions).
• Endoscopic procedures should be performed only by persons having adequate training and familiarity with endoscopic techniques.
• Consult medical literature relative to techniques, complications, and hazards prior to the performance of any endoscopic procedure.

Frequently Asked Questions

Is Surgicel safe?

Yes, Surgicel has a proven safety record when used as directed by trained medical professionals.

How long does it take to be absorbed by the body?

Surgicel is naturally absorbed by the body within four to six weeks after use.

Can it be used in all surgical procedures?

This can be used in a wide range of surgical specialties, but its use should be based on the specific clinical situation and the surgeon's judgment.

How is Surgicel Dressing applied during surgery?

Can be cut or shaped to fit the specific area where bleeding needs to be controlled and can be applied directly to the bleeding site.

Can this be used in patients with bleeding disorders?

Surgicel Original Absorbable Hemostat can be used in patients with bleeding disorders, but caution should be taken and the patient's condition should be closely monitored.

Is there a risk of allergic reactions to Surgicel?

Allergic reactions to Surgicel are rare, but they can occur in some patients.

How should Surgicel Absorbable Hemostat be stored?

Surgicel should be stored in a dry place at room temperature and protected from excessive heat or moisture.

What is hemostatic dressing and when do we use it?

Hemostatic dressings are a valuable adjunct in external hemorrhage control when the source of bleeding is a location not amenable to tourniquet placement, such as in junctional regions (ie, neck, axilla, and groin).