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Case studies

Application of TenaTac® in liver surgery

Procedure: Hemi-Hepatectomy

Hemi-hepatectomy-1

1.

TenaTac was used for bleeding control in a difficult hepatectomy case after haemostasis could not be achieved by Surgicel® Fibrillar™, EviCel® or Argon-beamer.

Hemi-hepatectomy-2

2.

Two TenaTac were put on the bleeding surface and compressed for three minutes with moist gauze.

Hemi-hepatectomy-3

3.

Excellent adhesion and haemostasis was observed. Note the flexible nature of the TenaTac as it curves around the cut edge of the liver.

Application of TenaTac® in gallbladder surgery

Procedure: Laparoscopic cholecystectomy

Cholecystectomy-1

1.

TenaTac was cut into three strips lengthwise.*

*Note: TenaTac can also be lightly compressed and rolled by hand prior to trocar insertion (with the columns on the outside for optimal placement)

Cholecystectomy-2

2.

TenaTac was introduced through a 10mm trocar, unfolded and applied to the bleeding site.

Cholecystectomy-3

3.

TenaTac adhered to the wound and stopped the bleeding, forming a gel-like clot.

Application of TenaTac® in neurosurgery

Retrosigmoidal craniotomy / Microvascular decompression

Craniotomy-1

1.

TenaTac’s surface modification makes it flexible enough to match contours. Here TenaTac was placed on top of, and adhered to, another haemostat which had been used on the dura mater.

Craniotomy-2

2.

The bone flap was placed on top of TenaTac, which then adhered to the bone and closed off the open spaces around the bone flap. Additional pieces of TenaTac were used to fill in other gaps around the bone flap.

Application of TenaTac® in thoracic surgery

Procedure: VATS left lower lobectomy

1.

TenaTac was applied to the bleeding site of the deflated lung.

2.

TenaTac adhered strongly to the surface and prevented further bleeding. It stretched and remained attached as the lung expanded.

Application of TenaTac® in thoracic surgery

Procedure: Lung pneumostasis

Pneumostasis-1

1.

TenaTac was applied to the surface of the lung along the resection line. TenaTac was initially applied dry for maximum adhesion, but was subsequently wetted with saline.

Pneumostasis-2

2.

Compression was applied throughout the procedure.

Pneumostasis-3

3.

TenaTac rapidly adhered to the wound site and formed a flat, gel-like layer to aid pneumostasis.