An alternative to felt pledgets in cardiac surgery
The Annals of Thoracic Surgery
|February 1, 1986
Summary
Pericardium pledgets offer an effective alternative to Teflon for controlling bleeding, especially when small sizes are required. This material allows for customizable pledget dimensions, overcoming limitations of traditional Teflon options.
Area of Science:
- Biomaterials science
- Surgical techniques
- Cardiovascular surgery
Background:
- Pledgeted sutures are crucial for hemostasis in various surgical procedures.
- Teflon pledgets are widely used but present challenges for creating small, precise sizes.
Purpose of the Study:
- To evaluate the efficacy of pericardium as a material for surgical pledgets.
- To determine if pericardium pledgets can be fashioned to meet specific size requirements for bleeding control.
Main Methods:
- Surgical pledgets were prepared using pericardium tissue.
- The effectiveness and adaptability of pericardium pledgets in surgical applications were assessed.
Main Results:
- Pericardium-based pledgets demonstrated effectiveness in controlling surgical bleeding.
- The material allowed for the creation of pledgets in any desired size, unlike limitations with Teflon.
Conclusions:
- Pericardium is a viable and effective material for surgical pledgets, particularly for applications requiring small or custom-sized pledgets.
- This offers a versatile alternative to traditional materials like Teflon for improved surgical hemostasis.


