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- Julia Ho and George Hruza.
- Laser & Dermatology Surgery Center, Town and Country, Missouri, USA. hojules@yahoo.com
- Dermatol Surg. 2007 Dec 1; 33 (12): 1430-3.
BackgroundPostoperative bleeding can lead to complications such as hematoma, infection, dehiscence, and an unscheduled office visit. Topical hemostatic agents can be used to aid in hemostasis.ObjectiveThe objective is to familiarize physicians with topical hemostatic agents--hydrophilic polymers with potassium salts (Urgent QR powder) and microporous polysaccharide hemispheres (Bleed-X).MethodsTwo hemostatic agents, microporous polysaccharide hemospheres and hydrophilic polymers with potassium salt, are discussed. The literature is reviewed.ResultsNumerous types of hemostatic agents exist. Topical hemostatic agents are safe, cost-effective, and efficient.ConclusionMicroporous polysaccharide hemospheres and hydrophilic polymers with potassium salts can be an adjunct to hemostasis after cautery and ligation. Patients can apply hemostatic agents if they experience any bleeding leading to decreased office visits. Hemostatic agents used intraoperatively shorten bleeding time and enable the physician to use less cautery. Using hemostatic agents can lead to fewer hematomas, infections, and office visits.
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