Topical hemostatic agents in surgery: a surgeon's perspective.

Area of Science:

• Surgical hemostasis
• Hemostatic agents
• Coagulation cascade

Background:

• Effective hemostasis in surgery benefits patients, surgical teams, and healthcare facilities.
• Active and passive hemostatic agents have a long history of safe and effective use across various surgical procedures.

Purpose of the Study:

• To review the role and selection criteria for topical hemostatic agents in surgical procedures.
• To highlight the advantages of active hemostatic agents in managing surgical bleeding.

Main Methods:

• Literature review on hemostatic agents used in surgery.
• Analysis of factors influencing the choice of hemostatic agents.
• Evaluation of the mechanism of action of active hemostatic agents.

Main Results:

• The choice of hemostatic agent depends on surgical procedure type, bleeding characteristics, agent availability, and patient factors.
• Active hemostatic agents actively participate in the coagulation cascade, making them effective for oozing blood and minor bleeding.
• Active agents can be used independently or in conjunction with passive agents.

Conclusions:

• Optimal use of hemostatic agents requires surgeon familiarity with product preparation and application.
• Active hemostatic agents offer advantages in managing specific types of surgical bleeding.
• Proper selection and application of hemostatic agents are crucial for successful surgical outcomes.