Experimental comparative evaluation of the efficacy of a new hemostatic surgical polysaccharide resorbable agent
https://doi.org/10.24884/2072-6716-2025-26-3-58-64
Abstract
The aim of the study is a comparative experimental evaluation of the efficacy of the surgical polysaccharide absorbable hemostatic agent «Hemospas®Med». For this purpose, the hemostatic efficacy of Hemospas®Med and the comparative agent, AgistaAN, was assessed in a standard model of rabbit liver wound bleeding. Materials and methods. The study was performed in an acute experiment on a biomodel of bleeding from a rabbit liver wound. Hemostatic efficacy was evaluated by the time of bleeding stoppage and the volume of blood loss, calculated relative to the animal›s total blood volume (TBV). Results. According to the results of experimental preclinical approval, the efficacy of «Hemospas®Med» hemostatic surgical polysaccharide absorbent, developed within the framework of import substitution, is comparable to a foreign sample of hemostatic agent based on modified starch. Conclusion. The local hemostatic agent «Hemospas®Med» is as effective as its foreign counterpart and can successfully replace it in the practice of emergency surgery as a supplement to the classical methods of surgical hemostasis in abdominal and retroperitoneal surgery.
Keywords
About the Authors
A. B. YudinRussian Federation
Andrey B. Yudin
St. Petersburg
L. A. Yudin
Russian Federation
Yudin Andrey Borisovich
St. Petersburg
References
1. Bakanov K.S., Lyaxov P.V., Isaev M.M. et al. Road traffic accidents in the Russian Federation for 6 months of 2023: Information and analytical review. Moscow: Scientific Center for Road Safety of the Ministry of Internal Affairs of the Russian Federation, 2023. 34 р. (In Russ.).
2. Styazhkina S.N., Sy›rkina N.V., Toropova D.S. et al. Chest and Abdominal Pathology Associated with Road Traffic Accidents. Science, Technology and Education, 2015, No. 12 (18), рр. 184–186 (In Russ.).
3. Afanas’eva N. V. Staged assistance to victims of road accidents: specialty 14.01.15 «Traumatology and orthopedics»: dissertation for the degree of candidate of medical sciences / Afanas’eva Natal’ya Vladimirovna, 2017. 187 р. (In Russ.).
4. Styazhkina S. N., Filinova V.S., Ismagilova A.A. et al. Current issues of injuries to the chest and abdominal organs resulting from road traffic accidents. Modern Science, 2020, No. 11–1, pp. 233–235 (In Russ.).
5. Sigua B.V. Zemlyanoi V.P., Dykov A. K. et al. Surgical tactic features of patients with combined trauma of head and abdomen with liver damage. Bulletin of the Russian Military medical academy, 2014, No. 1 (45), рр. 54–60 (In Russ.).
6. Bunatyan A.G., Zavenyan Z.S., Bagmet N.N. et al. Problems of hemostasis and hermeticity in liver resections using fibrin-collagen substance. Surgery. Journal named after N. I. Pirogov, 2003, No. 9, рр. 18–23 (In Russ.).
7. Gain Yu.M., Aleksandrova O. S., Gapanovich V. N. Modern methods of local hemostasis in damage to parenchymatous abdominal organs. Surgical news, 2009, Vol. 17, No. 4. рр. 160–171 (In Russ.).
8. Tarkova A.R., Chernyavskiy A.M., Morozov S. V. et al. Local hemostatic agent based on oxidized cellulose. Siberian Scientific Medical Journal, 2015, Vol. 35, No. 2, рр. 11–15 (In Russ.).
9. Nouri S., Sharif M.R., Afzali H. et al. The Advantages and Disadvantages of Methods Used to Control Liver Bleeding: A Review // Trauma Mon. 2015. Vol. 20, No. 4: e28088. doi: 10.5812.
10. Guidelines for conducting preclinical studies of medicinal products. Part one / edited by A. N. Mironova. Moscow: Publishing house Grif i K, 2012. 944 р. (In Russ.).
11. Meredith A., Lord B. et al. BSAVA Manual of Rabbit Medicine. Gloucester: Waterwells Business Park, Quedgeley, 2014. 328 p.
Review
For citations:
Yudin A.B., Yudin L.A. Experimental comparative evaluation of the efficacy of a new hemostatic surgical polysaccharide resorbable agent. EMERGENCY MEDICAL CARE. 2025;26(3):58-64. (In Russ.) https://doi.org/10.24884/2072-6716-2025-26-3-58-64