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A new implementation that facilitates bleeding control in thoracic surgery: tamponing with tranexamic acid
Eylem Yentürk1, Ahmet Sami Bayram2
1Department of Thoracic Surgery, Bursa Yüksek İhtisas Training and Research Hospital, University of Health Sciences, Bursa, Turkey.
Indian Journal of Thoracic and Cardiovascular Surgery
|December 16, 2024
Summary
A novel technique using tranexamic acid-impregnated gauze effectively controls pulmonary artery bleeding during thoracic surgery. This simple, low-cost method aids hemostasis in lung resections.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Surgical Hemostasis
Background:
- Bleeding complications are a significant challenge in thoracic surgery.
- Tranexamic acid is a widely used antifibrinolytic agent.
Purpose of the Study:
- To introduce a novel, simple, and effective method for controlling pulmonary artery branch bleeding during lung resection.
- To evaluate the efficacy of tranexamic acid-impregnated gauze for hemostasis in thoracic procedures.
Main Methods:
- A technique involving compression of the bleeding site with a tranexamic acid-impregnated gauze ball was developed.
- This method was applied during lung resection procedures to manage pulmonary artery branch bleeding.
Main Results:
- The application of tranexamic acid-impregnated gauze balls successfully controlled pulmonary artery branch bleeding.
- The technique provided an opportunity to prepare for alternative hemostatic surgical strategies.
Conclusions:
- The presented method offers an easy-to-implement and cost-effective solution for managing bleeding in thoracic surgery.
- This novel approach is expected to be beneficial for controlling pulmonary artery branch bleeding during lung resections.

