This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Safety and hemostatic effectiveness of the fibrin pad for severe soft-tissue bleeding during abdominal, retroperitoneal, pelvic, and thoracic (non-cardiac) surgery: a randomized, controlled, superiority trial. World J Surg 2015; 39: 2663-2669.

Published: 8th March 2016

Authors: Koea J, Baldwin P, Shen J, Patel B, Batiller J, Arnaud A et al. et al.

Conclusion

In this study that included 91 procedures, bleeding 4min after randomization was reduced with the fibrin pad compared to the local standard of care: 50 versus 84.7 per cent, P<0.0001. Mean time to haemostasis was also improved: 6.1 versus 17.8 min, P=0.01. Complication rates were similar.

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