First experience of a polyurethane foam composition «Locus» use to stop intra-abdominal hemmorage as a result of liver damage of V degree. (An experimental study)

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Abstract

Today self-expanding polymers are considered as the most promising as means for intracavitary hemostasis in case of continuing bleeding after trauma. Testing of domestic open-cell polyurethane foam composition «Locus» was carried out on the developed experimental model simulating liver trauma of V degree. After damaging 6 experimental rabbits were injected intraperitoneally with 80 ml of the composition. 5 experimental rabbits were included into to control group (haemostatic agent was not given). Estimated blood loss was 111-124 ml. The two-hour survival rate didn’t differ significantly: 3 animals survived in the experimental group; 2 animal survived in the control. Despite the 3-4-fold widening of the foam, due to open cells it absorbed 72,6±8,3 g of blood. Thus, open-cell polyurethane foam intraperitoneal administration of the composition didn’t provide a temporary intra-abdominal hemostasis in liver. In order to enhance the hemostatic effect it requires changing the formulation of the polyurethane composition. For a more accurate assessment of the results it is neccessary to perform additional researches on larger animals.

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References

  1. Ефименко Н.А., Ерюхин И.А., Самохвалов И.М. и др. Ранения и травмы живота // Военно-полевая хирургия. - Под ред. И.Ю.Быкова, Н.А.Ефименко, Е.К.Гуманенко. - М.: ГЭОТАР-Медиа, 2009. - С. 585-622.
  2. Жабин А.В. Обоснование выбора тактики оказания медицинской помощи при повреждениях живота с продолжающимся кровотечением на передовых этапах медицинской эвакуации (экспериментально-клиническое исследование): Дис.. канд. мед. наук. - СПб, 2014. - 159 с.
  3. Куранов А.А. Разработка и экспериментально-клиническое обоснование применения пенополиуретановой повязки «Сарэл» в хирургии: Автореф. дис. ….. д-ра мед. наук. - Н. Новгород, 2005. - 45 с.
  4. Пичугин А.А. Возможности применения метода временного внутриполостного гемостаза при оказании догоспитальной медицинской помощи раненным в живот (клинико-экспериментальное исследование): Дис.. канд. мед. наук. - СПб, 2010. - 154 с.
  5. Смирнов С.В., Шахламов М.В., Литинский М.А. Применение отечественного универсального пенополиуретанового покрытия «Локус» для лечения ран, ожогов и язв // Пласт. хир. и косметология. - 2013. - № 1. - С. 117-124.
  6. Brenner M.L., Moore L.J., DuBose J.J. et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation // J. Trauma Acute Care Surg. - 2013. - Vol. 75, N 3. - P. 506-511.
  7. Duggan M., Rago A., Sharma U. Self-expanding polyurethane polymer improvessurvival in a model of noncompressible massiveabdominal hemorrhage // J. Acute Care Surg. - 2013. - Vol. 74, N. 6. - P. 1462-1467.
  8. Eastridge B.J., Hardin M., Cantrell J. et al. Died of wounds on the battlefield: causation and implications for improving combat casualty care // J. Trauma. - 2011. - Vol. 71 (Suppl. 1). - P. S4-S8.
  9. Holcomb J.B., McClain J.M., Pusateri A.E. et al. Fibrin sealant foam sprayed directly on liver injuriesdecreases blood loss in resuscitated rats // J. Trauma. - 2000. - Vol. 49, N 2. - P. 246-250.
  10. Holcomb J.B., Pusateri A.E., Harris R.A. et al. Effect of dry fibrin sealantdressings versus gauze packing on blood loss in Grade V liver injuries inresuscitated swine // J. Trauma. - 1999. - Vol. 46, N 1. - P. 49-57.
  11. Morrison J.J., Stannard A., Rasmussen T.E. et al. Injury pattern and mortality of noncompressible torso hemorrhage in UK combat casualties // J. Trauma Acute Care Surg. - 2013. - Vol. 75, N 2 (Suppl. 2). - P. S263-S268.
  12. Peev M.P., Rago A., Hwabejire J.O. et al. Self-expanding foam for prehospital treatment of severe intra-abdominal hemorrhage: dose finding study // J. Trauma Acute Care Surg. - 2014. - Vol. 76, N 3. - P. 619-624.
  13. Rago A.P., Duggan M.J., Beagle J. et al. Self-expanding foam for prehospital treatment of intra-abdominal hemorrhage: 28-day survival and safety // J. Trauma Acute Care Surg. - 2014. - Vol. 77, N 3 (Suppl 2). - P. S127-S133.
  14. Rago A., Duggan M.J., Marini J. et al. Self-expanding foam improves survival following a lethal, exsanguinating iliac artery injury // J. Acute Care Surg. - 2014. - Vol. 77, N 1. - P. 73-77.

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Copyright (c) 2015 Reva V.A., Litinskii M.A., Denisov A.V., Sokhranov M.V., Telitskii S.Y., Samokhvalov I.M.



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