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• W2054757129 abstract "It was not too long ago that I received a “stat” page to the operating room from an OB/GYN colleague who ran into some trouble during a urinary incontinence procedure involving blind passage of a transvaginal tape. After passage of the tape via a 1- to 2-cm perineal incision, the team encountered some bleeding that rapidly increased in speed and volume. The incision and tract were rapidly packed with standard gauze, with little to no improvement. On my arrival I encountered a hypotensive patient who was exsanguinating from a major distal iliac venous injury via a perineal stab incision, and standard gauze packing was not helping. As I mulled over the options for emergently exposing this injury and getting vascular control in the deep pelvis, I remembered that our emergency department had started stocking some advanced hemostatic dressings for use in trauma cases. As we started the massive transfusion protocol and preparation for open surgery, one of the residents ran down to the emergency department and returned with several rolls of Combat Gauze (CG). We packed a full roll of CG into the extraperitoneal space through the perineal incision, and to everyone's surprise the bleeding immediately stopped and the patient rapidly stabilized! The OB/GYN staff and residents were sufficiently (and appropriately) impressed with this product that they wrote the case up for publication [ [1] Patel S.A. Martin M. Chamales I. Vaginal hemorrhage from transobturator sling controlled with QuikClot combat gauze. Mil Med. 2012; 177: 997 Crossref PubMed Scopus (8) Google Scholar ]. A pilot study of the use of kaolin-impregnated gauze (Combat Gauze) for packing high-grade hepatic injuries in a hypothermic coagulopathic swine modelJournal of Surgical ResearchVol. 183Issue 2PreviewSevere hepatic injuries may be highly lethal, and perihepatic packing remains the mainstay of treatment. This is not always successful, particularly in the setting of hypothermia and coagulopathy. Kaolin-impregnated Combat Gauze (CG) is an effective hemostatic dressing used primarily to treat external wounds. The objective of this study was to determine the ability of CG to control severe hemorrhage in hypothermic, coagulopathic swine with a high-grade hepatic injury. Full-Text PDF" @default.
• W2054757129 created "2016-06-24" @default.
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• W2054757129 date "2014-01-01" @default.
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• W2054757129 title "Editorial to accompany “A pilot study of the use of kaolin-impregnated gauze (Combat Gauze) for packing high-grade hepatic injuries in a hypothermic coagulopathic swine model”" @default.
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• W2054757129 doi "https://doi.org/10.1016/j.jss.2013.03.010" @default.
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