泌尿器科領域における吸収性ゼラチンスポンジ(Gelfoam)の使用経験

Abstract

The method of application of local coagulant is studied. For pro s t atectomy, t he arterial bleeding is controlled in the usual manner ; subsequently the oozing of venous blood from the prostatic capsule is able to be well controlled with this gelatin sponge. It is noted that this application makes the postoperative course to be less eventful, does not disturb the urine flow through the catheter, does not make any stone later and does not make infection. For nephrolithotomy, partial nephrectomy and open renal biopsy, this gelatin sponge is used instead of small fatty tissues to close the wound of the kidney. It will not provide any sourse of infection or necrotic tissue. It is thought that above-described two methods of the application of gelatin sponge are quite efficient in the field of urology.