Biosurgical compounds and pharmacologic agents can serve as surgical adjuncts to prevent or curtail intraoperative bleeding. Medline, PubMed, and Cochrane electronic data bases were used to search the English literature from 1966 to March 2007 using the terms topical, hemostatic agents, and gynecologic surgery. Several effective topical hemostatic agents are available to reduce intraoperative blood loss. Data on their application in gynecologic surgery are limited, and guidelines for selecting one over another for specific indications are lacking.
Obstetricians & Gynecologists, Family Physicians
After completion of this article, the reader should be able to describe the indications, techniques of use, and risks and complications of various hemostatis agents used in pelvic surgery.
*Staff Physician, Department of Gynecology, National Institute of Perinatology of Mexico, Mexico City, Mexico; †Section Head of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio
Chief Editor's Note: This article is part of a series of continuing education activities in this Journal through which a total of 36 AMA/PRA category 1 credits™ can be earned in 2008. Instructions for how CME credits can be earned appear on the last page of the Table of Contents.
The authors have disclosed that they have no financial relationships with or interests in any commercial companies pertaining to this educational activity.
Faculty and Staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity.
Lippincott Continuing Medical Education Institute, Inc. has identified and resolved all faculty conflicts of interest regarding this educational activity.
Reprint requests to: Jeffrey M. Goldberg, MD, Department of Obstetrics and Gynecology, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio 44195. E-mail: firstname.lastname@example.org.