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Role of Haemostatic Agents in Partial Inferior Turbinectomy

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  The nasal turbinates help control airflow inside the nose and support normal breathing. A common problem in ENT practice is nasal blockage caused by inferior turbinate hypertrophy, which can happen due to conditions like rhinitis or deviated nasal septum. This may lead to long-term nasal obstruction, discomfort, and sleep problems.1 When medicines do not provide enough relief, surgeons may perform partial inferior turbinectomy (PIT) to improve airflow. However, after this surgery, doctors often need to manage issues such as bleeding, pain, slow healing, and intranasal adhesions (synichae).1,2 To help reduce these problems, surgeons use haemostatic agents and nasal packing materials. Two commonly used options are Oxidized Regenerated Cellulose (ORC), such as Surgi-ORC® and Polyvinyl Alcohol (PVA) nasal packs like SURGI-PVA™ .  Together, these solutions help control bleeding, support healing, and improve recovery after turbinate surgery. What is Surgi-ORC® ? Surgi-ORC®   ...

Using SURGISPON® to Prevent Meningo-Cerebral Adhesions in Neurosurgery

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  Neurosurgery demands precision not just during the operation but also throughout the healing process, which plays a critical role in overall surgical outcomes. In repeat procedures especially for recurrent gliomas surgeons often encounter meningo-cerebral adhesions. Managing these adhesions can prolong surgery and increase the risk of focal cortical injury. They usually develop due to inflammation and disruption of the fragile dural border cell layer during surgery, which may ultimately affect patient survival and quality of life. 1–3 For this reason, preventing adhesion during the first surgery is crucial. Careful technique and good haemostasis support healing, repair the dural defect and reduce adhesion risk, showing the value of supportive surgical adjuncts.1,3 Why is prevention of meningo-cerebral adhesions important? Meningo-cerebral adhesions are commonly seen during repeat surgeries for high-grade gliomas. When these adhesions must be separated, they can lead to several in...

The Role of FLOGEL® in Posterior Fossa Tumor Surgery

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  In neurosurgical operations, posterior fossa tumor removal is a very delicate procedure because it is operating near vital structures such as the cerebellum and brainstem within confined space.1 Posterior fossa tumours are more common in children than adults, accounting for 54–70% of paediatric brain tumours compared with 15–20% in adults and occur more frequently in males.2–3 Continuous bleeding can obscure the surgical field, making it difficult for the surgeon to identify and control the source of bleeding. This not only complicates the procedure but also increases the risk of injury to surrounding tissues and serious complications, including brainstem compression, herniation and mortality.3 Hence, prompt and effective haemostasis is essential for maintaining bleeding control and a clear surgical field. What complications can occur in a postoperative posterior fossa patient? Posterior fossa surgery carries a high risk of complications, primarily due to the anatomical proximity...

Role of Surgi-ORC in Postoperative Bleeding After Minor Oral Surgery in Cirrhosis Patients

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  Introduction Minor oral surgery, a focused subspecialty of oral and maxillofacial surgery, encompasses procedures involving the teeth, gingiva, alveolar bone, and adjacent soft tissues.¹ These procedures such as tooth extractions, periodontal interventions, biopsies, and alveoloplasty are routinely performed to relieve pain, restore oral function, facilitate prosthetic rehabilitation, and aid in the diagnosis or management of infections and tumors.¹˒² While minor oral surgical procedures are generally considered safe, postoperative bleeding remains one of the most frequent complications and is significantly increased in patients with liver cirrhosis due to impaired coagulation. In such high-risk populations, achieving rapid and reliable local hemostasis is essential. Alongside systemic optimization, topical hemostatic agents play a critical role in minimizing postoperative bleeding and reducing procedure-related morbidity. What challenges do surgeons face when performing oral sur...