Elkhouly, M., Fouad, A. (2023). The Role of Absorbable Gelatin Sponge (Gel Foam) in Control of Sternal Bleeding during Cardiac Surgery. The Egyptian Journal of Hospital Medicine, 90(1), 335-342. doi: 10.21608/ejhm.2023.279614
Mohamed Elkhouly; Ahmed Fouad. "The Role of Absorbable Gelatin Sponge (Gel Foam) in Control of Sternal Bleeding during Cardiac Surgery". The Egyptian Journal of Hospital Medicine, 90, 1, 2023, 335-342. doi: 10.21608/ejhm.2023.279614
Elkhouly, M., Fouad, A. (2023). 'The Role of Absorbable Gelatin Sponge (Gel Foam) in Control of Sternal Bleeding during Cardiac Surgery', The Egyptian Journal of Hospital Medicine, 90(1), pp. 335-342. doi: 10.21608/ejhm.2023.279614
Elkhouly, M., Fouad, A. The Role of Absorbable Gelatin Sponge (Gel Foam) in Control of Sternal Bleeding during Cardiac Surgery. The Egyptian Journal of Hospital Medicine, 2023; 90(1): 335-342. doi: 10.21608/ejhm.2023.279614
The Role of Absorbable Gelatin Sponge (Gel Foam) in Control of Sternal Bleeding during Cardiac Surgery
Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Egypt
Abstract
throughout open heart surgery, in conjunction with traditional methods. Objective: To study the efficacy of gel foam for controlling postoperative bleeding in cardiac surgery. Patients and Methods: A prospective randomized study was performed in Cardiac Surgery Unit of Elkasr Elaini Medical Center, Cardiovascular Surgery Department in Cairo University, Cairo, Egypt. A total of 120 cases went through heart surgeries were allocated in 2 groups, 60 cases in each. In group A, gel foam wasn’t used but used in group B under sternum on closure. Study endpoints were the rate of total blood drainage, reopening for bleeding, use of blood products, tamponade and mediastinitis. Results: Statistically higher rates of reopening for bleeding, total blood drainage, blood transfusion and tamponade in group A comparing to group B, (p=0.015, < 0.009, <0.001 and 0.006 respectively). Rate of mediastinitis did not statistically vary between both groups, but were lower in group B. Conclusion: Gel foam is effective in reducing postoperative hemorrhage in conjunction with traditional surgical procedures. Its thoughtful use is linked to lower rate of reopening for bleeding after cardiac surgery.