[First experience of a polyurethane foam composition "Locus" use to stop intra-abdominal hemorrhage as a result of liver damage of V degree. (An experimental study)]

Voen Med Zh. 2015 Apr;336(4):32-9.
[Article in Russian]

Abstract

Today self-expanding polymers are considered as the most promising as means for intracavitary hemostasis in case of continuing bleeding after trauma. Testing of domestic open-cell polyurethane foam composition "Locus" was carried out on the developed experimental model simulating liver trauma of V degree. After damaging 6 experimental rabbits were injected intraperitoneally with 80 ml of the composition. 5 experimental rabbits were included into to control group (haemostatic agent was not given). Estimated blood loss was 111-124 ml. The two-hour survival rate didn't differ significantly: 3 animals survived in the experimental group; 2 animal survived in the control. Despite the 3-4-fold widening of the foam, due to open cells it absorbed 72.6 +/- 8.3 g of blood. Thus, open-cell polyurethane foam intraperitoneal administration of the composition didn't provide a temporary intra-abdominal hemostasis in liver. In order to enhance the hemostatic effect it requires changing the formulation of the polyurethane composition. For a more accurate assessment of the results it is neccessary to perform additional researches on larger animals.

Publication types

  • English Abstract

MeSH terms

  • Abdominal Injuries / therapy*
  • Animals
  • Disease Models, Animal
  • Female
  • Hemorrhage / etiology
  • Hemorrhage / therapy*
  • Hemostatic Techniques*
  • Liver / injuries*
  • Male
  • Polyurethanes / pharmacology*
  • Rabbits
  • Trauma Severity Indices
  • Treatment Outcome

Substances

  • Polyurethanes
  • polyurethane foam