Hepatobiliary Surgery
In HPB surgery, multiple factors such as treatment with antiplatelet/anticoagulant therapies as well as resection size and tissue quality can impact intraoperative blood loss1. The extent of blood loss impacts patient morbidity and mortality but may also present risk for longer term oncological outcomes2. In pancreatic surgery, the most serious complication is pancreatic leakage in the form of post-operative pancreatic fistula. Baxter’s portfolio of solutions can help promote better outcomes in these challenging procedures.
Each HPB procedure provides unique challenges that can cause complications for the healing process. Here are a few examples:
FLOSEAL in Liver Resection
FLOSEAL, Baxter's flowable haemostat, is highly effective to achieve haemostasis in deep and irregular transection cavities during both open and MIS liver resection procedures. FLOSEAL, provides effective, fast haemostasis in major hepatic surgery to remove primary or metastatic tumors, controlling mild to severe bleeding from the liver edge, even in patients with cirrhotic livers5. A variety of applicator tips and cannulas are available to facilitate FLOSEAL’s application, including sites that are difficult to access.
HEMOPATCH in Liver Resection
HEMOPATCH, Baxter’s collagen pad with NHS-PEG adhesive coating, provides effective haemostasis in open and minimally invasive liver resections with largely plane transection surfaces6. Extensive vascular exposure during liver resections can increase the risk of bleeding and fistula formation. HEMOPATCH can decrease the biliary and haemorrhagic complications in liver applications, providing a strong mechanical bolster to seal even cauterised tissue6. Surgeon preferred for its flexibility/pliability and tissue adherence, HEMOPATCH handles with ease in MIS applications6.
Whipple & Distal Pancreatectomy
Postoperative pancreatic fistula (POPF) is the most common major complication after pancreatectomy and it is a potentially serious and life-threatening complication that may lead to prolonged hospital stay and increased costs7. HEMOPATCH, Baxter’s ready to use advanced patch, provides effective sealing with mechanical strength that may decrease both the incidence and severity of POPFs in both Whipple and distal pancreatectomy procedures7,8.
