Hemostatic sponge instructions for use. There can be several reasons for bleeding. Instructions for use of collagen hemostatic sponge for nosebleeds or dentistry

A hemostatic sponge is an antihemorrhagic agent (i.e. hemostatic) intended for local application. It is produced in the form of plates with a thickness of 7 mm in two sizes - 50x50 mm and 90x90 mm.

Pharmacological action of hemostatic sponge

The hemostatic collagen sponge consists of a collagen solution, which is obtained from the split split skins of large cattle, boric acid and furatsilina.

The drug is a porous dry mass yellow color with a slight odor acetic acid. The hemostatic sponge perfectly absorbs liquids, slightly swelling and increasing in size. The drug does not dissolve in water and organic solvents, it is resistant to temperatures not exceeding 75 ° C. If the sponge enters a humid environment with more than high temperature it is concentrated and dissolved.

According to the instructions, the hemostatic sponge has an effect on the blood coagulation system, as well as on the process of tissue regeneration. When applied to a wound, the product is completely absorbed. Upon contact of the sponge with the surface that bleeds, aggregation and adhesion of platelets occur, which lead to an early cessation of capillary-parenchymal bleeding.

The collagen in the hemostatic sponge is biodegradable, that is, it is gradually absorbed in the human body over 4-6 weeks. This allows you to install the drug directly at the site of application without subsequent extraction. The products of lysis (biodegradation) of collagen affect the processes of wound repair - they stimulate them, which accelerates the process of wound healing.

Boric acid and furatsilin, contained in the Hemostatic Collagen Sponge, have antimicrobial and antiseptic effects.

Indications for use Hemostatic sponges

Sponge is effective tool to stop nosebleeds, from the sinuses of the dura mater, as well as during dental interventions, injuries skin, bedsores, otitis media, eye injuries.

Hemostatic sponge is used to fill various defects parenchymal organs(after liver resection, for example) and closing of the gallbladder bed.

How to use Hemostatic Sponges

The hemostatic sponge is applied topically to pack the wound. Remove the drug immediately before use, observing all the necessary rules of antiseptics. After that, the sponge is applied to the site of bleeding, pressed to it for 2 minutes, or the surface of the bleeding is tamponed, followed by bandaging. After the sponge is saturated with blood, it fits snugly against the wound.

To close areas of the liver or gallbladder bed after cholecystectomy, the sponge must be placed in the damaged cavity. If the effect is not achieved, you can put a second layer of hemostatic sponge. After the bleeding is stopped, the sponge should be fixed with a U-shaped suture.

In order to stop bleeding from the vascular suture, the bleeding site can be closed with a sponge. After stopping the bleeding, there is no need to remove the drug, since the sponge is completely absorbed.

The amount of sponge used and the size is selected according to the volume of the cavity and the parameters of the surface to be treated.

Side effects

The instructions for the Hemostatic Sponge indicate that an allergic reaction or secondary infection may occur during or after use.

Contraindications for use

Overdose

There have been no cases of overdose with Hemostatic Sponge.

Additional Information

It is necessary to store the hemostatic sponge in a place protected from direct sunlight at room temperature. The shelf life of the drug is 5 years from the date of issue indicated on the package.

The sponge is dispensed from pharmacies without a doctor's prescription.

Composition and form of release

Plates measuring 100x100 or 50x50 mm, prepared from a collagen solution obtained from the skin or tendons of cattle; in a sterile package, in a box of 10 pcs. 1 g of dry sponge contains 0.0125 g of boric acid and 0.0075 g of furacilin.

Characteristic

Dry porous mass of yellow color with a slight smell of acetic acid, soft-elastic consistency, well absorbing liquid, slightly swelling at the same time; insoluble in cold water and organic solvents, stable at temperatures not exceeding 65-75 °C. At a higher temperature and a humid environment, contraction and partial dissolution of the sponge occur.

pharmachologic effect

Stimulates tissue regeneration.

Indications of the drug

Capillary bleeding (nasal, from the sinuses of the dura mater, during dental interventions), with damage to the skin, bedsores, otitis media; to fill defects in parenchymal organs (for example, after liver resection) and to close the gallbladder bed (after cholecystectomy).

Contraindications

Hypersensitivity, arterial bleeding.

Dosage and administration

Locally, the wound is tamponed, after 3-5 minutes the sponge, soaked with blood, fits snugly to the bleeding surface; in case of non-cessation of bleeding, a second layer of sponge is applied. After stopping the bleeding, the sponge is fixed with a U-shaped suture. To enhance the hemostatic effect, the sponge can be moistened with a thrombin solution. The sponge is not removed, because. it subsequently completely resolves.

Storage conditions of the drug Collagen hemostatic sponge

Keep out of the reach of children.

Shelf life of the drug Collagen hemostatic sponge

Do not use after the expiry date stated on the packaging.

Instructions for medical use

Sponge hemostatic collagen
Instructions for medical use- RU No. R N001656/01-2002

Last Modified Date: 19.06.2017

Dosage form

Sponge hemostatic collagen

Compound

Per 1 g of the drug: collagen, substance-solution 2% - 49 g (0.98 g of dry collagen) nitrofural (furatsilin) ​​- 0.0075 g, boric acid - 0.0125 g

Description of the dosage form

Plates of yellow color with a specific smell of acetic acid, with a relief surface, with a porous structure, from 5 to 9 mm thick.

Pharmacological group

Hemostatic agent for local use.

pharmachologic effect

The drug has a local hemostatic and antiseptic effect, stimulates tissue regeneration. The sponge left in the wound or cavity is completely absorbed. Upon contact of the hemostatic collagen sponge with the bleeding surface, adhesion and aggregation of platelets occur, which leads to a rapid stop of capillary-parenchymal bleeding. Collagen undergoes biodegradation - gradual resorption in the body within 3-6 weeks, which allows the material to be left at the site of application without subsequent removal. Collagen biodegradation (lysis) products stimulate wound repair processes, accelerating wound healing. The boric acid and nitrofural contained in the sponge have an antiseptic and antimicrobial action.

Indications

As a hemostatic agent for capillary and parenchymal bleeding from:

• sinuses of the dura mater
• medullary canal
• alveolar socket after tooth extraction
• parenchymal organs (in particular, after liver resection)
• gallbladder bed after cholecystectomy

Contraindications

Increased individual sensitivity to the components of the drug. Intolerance to drugs of the nitrofuran series (nitrofural, furazidin, nitrofurantoin, furazolidone, nifuratel, nifuroxazide). arterial bleeding. Purulent wounds, pyoderma.

Use during pregnancy and lactation

There are no contraindications for use during pregnancy and lactation.

Dosage and administration

The sponge is removed from the package immediately before use, following the rules of asepsis. Impose on the bleeding site and press against it for 1-2 minutes or tightly tampon the bleeding surface, followed by bandaging. After soaking with blood, the sponge adheres tightly to the bleeding surface. To close the damaged areas of the parenchymal organs (liver) or the gallbladder bed after cholecystectomy, the sponge is placed in the damaged cavity. If the bleeding has not stopped, a second layer of sponge can be applied. After stopping the bleeding, the sponge is fixed with a U-shaped suture. Further operation is carried out according to the accepted methods. To stop bleeding from the vascular suture, the bleeding site is closed with a sponge. After stopping the bleeding, the sponge is not removed, since it subsequently completely resolves. The size and amount of sponge used is chosen according to the size of the bleeding surface or the volume of the cavity.

Side effects

Possible allergic reactions.

Overdose

Cases of overdose are not described.

Interaction

The hemostatic effect of the sponge is enhanced if it is additionally moistened with a thrombin solution.

Release form

Sponge with dimensions (50 ± 5) x (50 ± 5) mm, 1 pc. and (90 ± 10) x (90 ± 10) mm 1 pc. packed hermetically in two-layer bags made of polyethylene film, or in containers made of polyvinyl chloride film and aluminum foil with a heat sealable coating, or from films: polymer, Poliform, Plastiplen and laminated paper, or only from films: polymer, Poliform, "Plastic".

Sponge with a diameter of (1.1 ± 1) mm, 10, 20, 30 pcs. Packed in blister strip packaging. PVC films and aluminum foil with a heat sealable coating.

A blister pack or a two-layer bag made of polyethylene film or a container together with instructions for use is placed in a cardboard pack.

For medical institutions, two-layer "bags of polyethylene film or containers of 10, 20, 30 pieces, together with instructions for use in an amount equal to the number of primary packages, are placed in a group package in a cardboard box.

Storage conditions

In a dry, dark place at a temperature of 10 to 30°C.

Keep out of the reach of children.

Best before date

5 years. Do not use after the expiry date stated on the packaging.

Terms of dispensing from pharmacies

Without recipe.

Collagen hemostatic sponge

Synonyms of nosological groups

The information posted on the site is for informational purposes only.

Be sure to consult with a specialist.

If you find an error in the text, an incorrect review or incorrect information in the description, please report this to the site administrator.

Reviews posted on this site are the personal opinions of the people who wrote them. Do not self-medicate!

Review: Collagen hemostatic sponge Laboratory Innopharm - we only learned about it through the "Ambulance"

Effectively and quickly stops the blood, does not need to be removed

At first, none of us were afraid. Remembering from school that in such cases you need to take a half-sitting position and put cold on the bridge of your nose, I sat my mother down and put a cloth with ice on my nose (fortunately, I ended up in the refrigerator). However, 10 minutes passed, and the bleeding did not stop, it even intensified. My mother was shaking with fear, her blood pressure jumped sharply, which further aggravated the situation, and in a panic I rushed to the bathroom and back, not having time to rinse the rags. Naturally, an ambulance was called, but it arrived only after 40 minutes, because there were no free teams. During this time, my mother lost a lot of blood, the towel was soaked through.

When the doctors finally arrived, I was hardly in better condition than my mother. As they provided first aid, the nurse advised for the future in such cases to insert a cotton pad into the nostril. gauze swab dipped in hydrogen peroxide. And the doctor, having carried out simple manipulations, quickly stopped the bleeding and showed me a hemostatic sponge, with which he did this, asking if we had one in the first-aid kit. I answered that no, for the first time in my life I see such a thing, especially since no one in our country had suffered from nosebleeds before. The doctor advised me to purchase such a sponge at the pharmacy and, if necessary, stop the bleeding on my own by cutting out a piece of the sponge right size and tightly plugging their nostril. Of course, the next day I bought such a sponge at the pharmacy, read the instructions.

As it turned out, the sponge is made of collagen. Collagen is a building material and an active participant in the healing process, it stops bleeding. The sponge also contains aminocaproic acid with antiallergic activity.

Another component, arovit, is a water-polymer solution of silver nanoparticles, which has an antimicrobial and disinfectant effect. Well, boric acid, which completes the list, has an antiseptic, astringent and drying effect.

Returning to our story, I want to say that after tamponing with a sponge, we calmly drove to the city hospital, nothing leaked anywhere for half an hour, an additional napkin was not required. Later, in the polyclinic, the vessel was cauterized for my mother, I hope this nightmare will not happen again.

And I, having studied the information about emergency assistance with nosebleeds, I consider it not superfluous to remind the readers of Otzovik the main actions in this situation, if there is no such sponge at hand or there is no way to make a cotton-gauze swab.

First of all, you need to calm down. Nosebleeds - although it is scary, it is still not fatal, because there are no large blood vessels, but there is only a dense capillary network. This applies, of course, only to "anterior" bleeding that occurs from the vessels of the nasal septum, they occur most often - in 90-95% of cases and do not pose a threat to life.

Secondly, you need to take a semi-sitting position, but not leaning back, but on the contrary, slightly tilting your head forward so that blood does not drain into your mouth.

Thirdly, firmly press the nostrils to each other with your fingers, thereby squeezing the bursting vessel and stopping the blood. If your hands are tired, an ordinary wooden clothespin will do for this purpose.

Fourth, put ice on the bridge of your nose so that the blood clots faster. Under no circumstances should you blow your nose.

If you decide to put a cotton - gauze swab, then consider its size: it should be 2.5 - 3 cm long and 1.5 cm wide. Before putting it in, it is better to dip the swab in a solution of hydrogen peroxide. Install very tightly, blocking the blood flow.

If in this case the bleeding does not stop, then call a doctor.

For myself, I decided that a collagen sponge should be in the first-aid kit along with iodine and aspirin, it is especially necessary where there are elderly people suffering from hypertension. I hope my review will be useful to someone. Be healthy!

General impression: We only found out about her through an ambulance.

Tampons Hemostatic Sponge Review

Stops bleeding quickly. Be sure to buy this for your home first aid kit.

How do you stop nosebleeds or wounds? Cotton wool? With hydrogen peroxide? Helps? To me - no. Of course, I have both at home. But if the blood has gone, then I use only a hemostatic sponge. It has been in my first aid kit constantly for 10 years already. Cotton wool does not help me at all, besides, it gets into the wound and then it is problematic to get it out of there. It is highly likely that when torn off or even soaked, blood will bleed again.

Briefly about what a hemostatic sponge is.

Hemostatic sponge It really does look like a sponge. yellow or slightly Brown color. But the composition of this sponge is unusual. It's made, don't faint, out of the skin and tendons of cattle. But not like sausage or minced meat, of course. And on a special medical technology. Collagen is created from primary raw materials, furatsilin is added and boric acid. And all this economy is capable of stopping bleeding and disinfecting the wound in a matter of seconds.

Once, while slicing cabbage with a double-bladed knife, I cut my finger very badly with the second blade. I cut deep, part of the skin lagged behind my finger and hung like a flap.

There was only a towel at hand, I wrap my finger around it, and it immediately gets wet through. That is, you understand how strong the bleeding was. Until I got to the box of medicines, I filled everything around. The sponge stopped the bleeding instantly! You do not need to apply the entire sponge to the wound, a small piece is enough, even if the blood is in a stream. The sponge can absorb great amount liquid without increasing in size. You can cut it off with scissors, and if there is no time or scissors at hand, tear it off with your hands, it breaks easily. It is not necessary to remove the sponge from the wound after the bleeding has stopped. The sponge will adhere well and protect the wound if you suddenly touch it. Ripping off the sponge after it seemed to you that the wound began to heal is also not necessary. It will dissolve on its own (like surgical stitches). But if you don't want to wait, you can soak it in hydrogen peroxide.

I also stop bleeding from the nose only with this sponge. I insert a small piece of a sponge into my nose and after a couple of minutes you can take it out - that's it, the blood will no longer go.

A scary story with a happy ending.

My husband and father-in-law hung cabinets from the headset in the kitchen. We have a lot of stones in the walls, and my father-in-law came across one of them when he was drilling a hole. The drill broke off and injured his hand. Yes, what hurt there - it cut open the entire palm. Our father-in-law is a strong-willed man, he refused an ambulance, he was going to go himself to an injury by car. They put a whole sponge in his palm (there was no time for adjusting the size of the sponge to the wound) and that's how he left on his own to the hospital. There is not a drop of blood in the car. In the hospital, I also spent a long time to see the doctor, the wound was sewn up, now everything is in order.

You can buy a sponge in almost any pharmacy. True, when I bought last time, the pharmacist looked at me as if she was hearing about her for the first time. The girl turned out to be a trainee and an experienced pharmacist quickly told her where and what. The first time they sold a sponge in this design. Usually it is a box with blue letters. Here - with brown and in the title the main word is not “hemostatic”, but “hemostatic (I wanted to find old boxes for photos, but apparently I already threw it away). And instead of a yellow sponge - slightly brown. Shelf life - 3 years (for blue packaging - 5 years). Apparently, a new manufacturer of these sponges has appeared. By the way, he also introduced silver into the composition. But the essence is the same as before.

The cost of a sponge (depending on size) is from 70 to 160 rubles (in pharmacies of our city).

In general, if in your home or car first aid kit still don't have that tool. be sure to buy it. Let it not be useful to you, but if anything, it will save you.

A hemostatic sponge should be in every first aid kit!

For the first time, I experienced the effect of a hemostatic sponge on myself after the removal of a wisdom tooth, the bleeding did not stop for a long time; I already brought it from work (works in a pharmacy) to stop bleeding, but I myself have a medical education and I know very well that collagen sponges ...

An indispensable thing for bleeding! It must be not only in the first aid kit, but also in your purse.

Good day! Unfortunately, nosebleeds are not uncommon in our family, so the otolaryngologist advised us to purchase this sponge. THIS IS A REALLY ESSENTIAL AND VERY EFFECTIVE SPONGE! It stops even heavy bleeding.Application of a sponge…

does a little tomboy live in your house? Then this tool MUST be in the first aid kit!

When my son broke his nose during the game, I ran to apply ice to the bridge of his nose and make cotton flagella to stop the blood. Then I didn’t know about this miracle cure. And acted the old fashioned way. The blood stopped flowing.

Hemostatic sponge

Sponge hemostatic collagen

Consisting of a mass of porous structure, the consistency of which is elastic and soft collagen, hemostatic sponge has a yellow color and a faint vinegar smell. It is characterized by excellent absorbency of liquids, accompanied by slight swelling. Cold water and organic solvents do not dissolve the sponge; it is also able to keep itself unchanged at temperatures up to 75 degrees. Higher temperature indicators and high humidity cause changes in the sponge and are able to partially dissolve it.

Hemostatic sponge instructions

The instructions for use of the Hemostatic Sponge provide the patient with guidelines for its correct use.

Form, composition, packaging

The drug is produced in the form of plates, the size of which is 10X10 cm or 5X5 cm. They are prepared from a collagen solution, which is obtained from the tendon or skin of cattle.

The constituent components of the preparation are the amounts of boric acid and furacilin necessary for the composition of the sponge.

The drug Hemostatic Sponge is packed sterile. In a box made of thick cardboard, they are packed in ten pieces.

Terms and conditions of storage

It is allowed to store the drug for five years, provided that it is kept in places protected from light with an air temperature in the range of 10 to 30 degrees.

Pharmacology

From the pharmacological side, the drug has an adsorbing, antiseptic and hemostatic effect. It also has a stimulating effect on the process of tissue regeneration.

Indications for the use of a hemostatic sponge

• with capillary bleeding (from the nose, after the intervention of a dentist, from the sinuses of the dura mater);
• in case of skin damage, otitis or bedsores;
• in order to fill the defect of the parenchymal organ, for example, after a partial excision of the liver or removal of the gallbladder.

Contraindications

Collagen hemostatic sponge application

A hemostatic sponge is used exclusively locally by applying a swab from it to a bleeding wound. In the event that it was not possible to achieve a stop of the blood, another layer of material should be applied. When the blood has stopped, the sponge should not be removed, but on the contrary, it must be fixed. Then there will be its complete resorption.

Hemostatic sponge for nosebleeds

In case of bleeding from the nose, the Hemostatic sponge helps to stop the blood, and also acts as a sorbent and antiseptic, stimulating tissue recovery.

Apply a sponge tightly to the place of bleeding and after a few minutes check to see if the blood has passed. Apply another plate if necessary. After a complete stop of the blood, fix the sponge (fixation p-shaped).

Hemostatic sponge after tooth extraction

After tooth extraction, the Hemostatic Sponge is capable of helping the patient if he needs to stop bleeding. In addition, the sponge will contribute to the adsorbing and anti-inflammatory effect. While waiting for a prophylactic result, you can put a sponge in the hole just now extracted tooth.

Side effects

The use of a hemostatic sponge may lead to a re-infection effect or the development of an allergy.

Drug Interactions

The action of the drug will be enhanced if thrombin is used to wet it.

Hemostatic sponge with amben analogues

Analogues of the drug in the form of a hemostatic collagen sponge are some drugs of similar action:

Hemostatic sponge price

The cost of the drug varies depending on the size of the plates and units in the package. It is in the range from 85 to 740 rubles.

Hemostatic sponge reviews

There are very few reviews of the hemostatic sponge preparation, but each of them characterizes the material only on the positive side. Let's take a look at some of the recent reviews.

Victoria: The child came from the kindergarten and when talking with him, I heard some nasality in his voice. It turned out that his nose bled during the day and the teacher put a hemostatic sponge in his nose. Indeed, by the evening the child was breathing normally, and when examining anything extraneous in the nasal cavity, nothing was found. Interesting drug. Even though I didn't know it existed before.

Marina: Not so long ago, I found myself in a rather ridiculous situation, when my elderly mother started bleeding from the nasal cavity, and everything that I myself knew to help in this situation did not work. I had to resort to calling an ambulance. The brigade arrived only twenty-five minutes later. During this time, the woman lost a lot of blood, and I myself was not in my best condition. The nurse calmly rolled up a small tampon and placed it right in my mother's nose. After a few minutes, the blood calmed down and they showed me our savior in the form of a collagen sponge and taught me how to use it.

After how long can a hemostatic sponge be removed from the nose?

Whether it is necessary to sustain what that time, or it is removed or taken off right after a bleeding stop?

I first heard about the concept of "hemostatic sponge" in the office of a pediatric ENT doctor, when I turned to a specialist with my son for professional help.

The child often there is blood from the nose and had to turn to Laura to rule out or identify problems that entail bleeding.

For nosebleeds, the doctor prescribed compresses with tampons made from homemade cotton flagella, which must be wiped olive oil or milk thistle oil for 10 minutes in each nostril for 14 days.

And to this, also purchase a hemostatic hemostatic sponge at the pharmacy, which consists of collagen, a suspension of silver, boric acid and aminocaproic acid.

For nosebleeds, it is necessary to cut off a small piece so that it fits in the child's nostril and leave it for 2-3 minutes to absorb the blood.

Subsequently, the sponge completely resolves, but I do not wait for this moment, as the child pulls it out of the nose.

If one plate is not enough and the sponge is completely saturated with blood, it is replaced with a new one and fixed on the wound.

There is no need to remove a collagen hemostatic sponge, because such a sponge tends to dissolve on its own, while bleeding quickly stops, due to its treatment with furatsilin, an antiseptic effect is exerted, as well as a healing effect of the wound. Do not use such sponges when arterial bleeding and at festering wounds.

Hemostatic sponge

Instructions for use:

Price in online pharmacies:

A hemostatic sponge is an anti-hemorrhagic or hemostatic agent. The scope of its application is quite wide, and side effects and few contraindications. The drug helps to stop bleeding and promotes the speedy recovery of damaged tissues, limiting their injury and protecting them from negative external influences.

pharmachologic effect

The hemostatic sponge is both a sorbent and an antiseptic, it helps to stop bleeding and prevents the wound from developing. bacterial infection. In addition, it contributes to the speedy recovery of damaged tissues.

The raw material for the manufacture of the sponge is a collagen solution, which is obtained from the skin and tendons of cattle. Additionally, boric acid and furatsilin are added to sponges. Due to its unique composition, the hemostatic collagen sponge is perfectly absorbed in the wound cavity, but it does not dissolve at all in cold water and various organic solvents, in addition, it tolerates temperature rise well, up to 75°C.

Very often you can hear recommendations for the use of a hemostatic sponge with amben. Amben is a substance that prevents the dissolution of blood clots. The composition of such a sponge, in addition to amben, includes plasma human blood and calcium chloride.

Composition and form of release

Hemostatic collagen sponge is produced in the form of dry porous, soft and elastic plates. The plates are yellow and have a slight smell of acetic acid. Sponge plates absorb liquid well and at the same time swell a little. The sponge does not dissolve in cold water and organic solvents, but in hot water contraction occurs, as well as partial dissolution of the sponge.

Standard jaws are 50*50 mm or 100*100 mm. Ambene sponge is produced in the form of a dry substance packed in vials.

Indications

According to the instructions, the hemostatic sponge can be used for various capillary bleeding, for example, epistaxis, bleeding after dental procedures and from the sinuses of the dura mater. Also, this sponge is often used for parenchymal bleeding or bleeding from internal organs and alveolar hemorrhage.

According to the instructions, a hemostatic sponge can be used for skin lesions, including pressure sores, as well as for filling defects in parenchymal organs, for example, its use is justified after hepatic resection. It is also used to close the gallbladder bed after a cholecystectomy.

Instructions for use (method and dosage)

How to use a hemostatic sponge is described in detail in the instructions. It is used only locally for wound packing. In about 3-5 minutes, the sponge is completely saturated with blood and fits snugly to the edges of the wound. If the bleeding from the wound has not stopped, you can use another sponge, it is applied over the first one. After stopping the bleeding, the sponge is fixed with a U-shaped suture. To enhance the effect of using a sponge, it is often recommended to moisten it with a thrombin solution.

The rules for using amben sponges are slightly different from the standard ones: the contents of the sponge bottle are used to pack the wound surface. In this case, the sponge must be pressed down with a gauze swab or surgical instrument for 3-5 minutes. If necessary, after the sponge falls asleep on the damaged surface, you can add a gauze swab there and even leave it in the wound cavity for no longer than a day.

Side effects

When using a sponge, like any other drug, allergic reactions may occur. Therefore, with known hypersensitivity to furacilin and other natrofulans, it is better to refrain from using a hemostatic sponge. There is also the possibility of secondary infection of the wound when using a sponge.

Contraindications

The use of this sponge is also contraindicated for bleeding from large vessels.

The description posted on this page is a simplified version of the official version of the annotation for the drug. The information is provided for informational purposes only and is not a guide for self-treatment. Before using the drug, you should consult with a specialist and read the instructions approved by the manufacturer.

Hemostatic collagen sponge 50x50mm №1

Sponge Hemostatic 5X5cm N1

Hemostatic sponge 9x9cm 1 pc.

Hemostatic sponge 9*9 cm N1

When using materials from the site, the active reference is obligatory.

The information provided on our website should not be used to self diagnosis and treatment and is not a substitute for consulting a doctor. We warn about the presence of contraindications. Specialist consultation is required.

Instructions for use of collagen hemostatic sponge for nosebleeds or dentistry

An effective antihemorrhagic agent necessary to stop the blood and used as a local antiseptic is a hemostatic sponge. In such a public way, one can not only stop heavy bleeding, but also accelerate the process of regeneration of damaged tissues. Collagen sponge has a wide spectrum of action, has found its application in several areas of medicine at once. Before use antiseptic, it is recommended to consult with your doctor, ensure storage in a home first aid kit.

Hemostatic sponge

The detailed instructions indicate that this pharmaceutical agent simultaneously combines the functions of a sorbent and an antiseptic, helps to avoid bacterial infection of open wounds. This preparation is natural in composition, therefore the only contraindication to use is the body's hypersensitivity to active ingredients. The mechanism of action of a hemostatic sponge is approximately as follows: upon contact with a damaged surface, adhesion and aggregation of platelets occurs, as a result of which bleeding stops.

Compound

A collagen hemostatic sponge is made from a special collagen solution extracted from the tendons and skin of cattle. Auxiliary components in the natural composition of this drug for external use are boric acid, nitrofural and furatsilin. Such a unique composition does not dissolve in organic solvents, is integral in water, but at the same time it is productively absorbed into the wound, forming a so-called protective barrier. The hemostatic sponge is resistant to elevated temperatures up to 75 degrees.

pharmachologic effect

This medical preparation in their own way pharmacological properties does not have complete analogues on natural composition, sold in every pharmacy. The hemostatic sponge not only prevents bleeding and large-scale blood loss, but also restores the integrity of damaged vessels, accelerates the process of repairing damaged epidermal tissues. Such a universal remedy has bactericidal, aseptic, antimicrobial, regenerating, tonic and sorbing properties, purposefully acts on the focus of pathology.

Release form

In fact, it is a powder mass of yellow color of a pressed type, which has a mild smell of acetic acid. It dissolves in the body for 4-6 weeks, while the active substances overcome the systemic circulation, maintain their concentration for several days. Hemostatic sponge effectively absorbs biological fluids, slightly increasing in size and swelling. The dimensions of such a plate are 50x50 mm or 90x90 mm, packed in a plastic bag, on top of a cardboard box.

Indications for use

The hemostatic sponge stops heavy bleeding of parenchymal, alveolar and capillary origin. Use of this medicine is required immediately, without waiting heavy blood loss. It is required to act according to the instructions enclosed in the package. The attending physician strongly recommends the use of such a pharmaceutical product for its intended purpose in the following clinical situations, without violating the method of application, daily doses, general advice:

• mechanical or chemical violation of the integrity of the skin;
• defects of parenchymal organs, as an option - the liver, gallbladder;
• trophic ulcers of different localization;
• hemorrhages of the sinuses of the dura mater;
• progressive bedsores, open wounds;
• nosebleeds of unknown etiology;
• acute otitis;
• inflammation of internal and external hemorrhoids;
• closure of the gallbladder bed after cholecystectomy;
• progressive hemostasis of dental practice.

Hemostatic sponge - instructions for use

This medicinal product It is intended for external use for the purpose of plugging an open wound. A dry substance-solution is applied over an open wound, and then wait a few minutes. During this time, the hemostatic sponge is filled with blood, and the bleeding stops. Its edges fit snugly to the wound, but for greater reliability it is better to use a second sponge - on top of the first. When the hemorrhage is stopped, the healing agent is fixed by applying a U-shaped suture, and a bandage is wound. To enhance the effect, the sponge must be moistened with a solution of thrombin.

If you use a hemostatic sponge with amben, the rules for use are somewhat different. The contents of the bottle are intended for plugging the cavity of an open wound, and the agent itself must be held with a surgical instrument and a gauze swab for 5 minutes. You can leave a layer of gauze in the wound for a short time, but it must be removed the very next day. A hemostatic sponge after tooth extraction is used just according to this principle. Right choice recipes and schemes intensive care the attending physician will advise.

Side effects

Not all patients are allowed to stop bleeding with a hemostatic sponge, since side effects may occur in the form of allergic, local reactions on the skin. This is itching, burning, redness, increased swelling of the dermis. Therefore, when hypersensitivity organism to active substances, it is better not to use the remedy after surgery and during intensive care. In addition, doctors do not exclude the risk of secondary infection. Detailed instructions for the use of hemostatic sponges about others side effects does not report.

Contraindications

If the surface of the dermis is damaged, use this inexpensive drug far from being allowed to all patients, since there are medical restrictions. For example, in case of arterial bleeding from large vessels after resection, it is better not to use a hemostatic sponge. Carefully prescribe such a remedy to a child, while it is strictly prohibited in case of increased sensitivity of the body to active components. So the dissolution of the agent in the cavity of an open wound does not help all patients, as reported in the detailed instructions.

Storage conditions

The sponge must be stored in a dry place, as high humidity this drug will soon become unusable. The instructions say that such a local antiseptic should not fall into the hands of children, be used for other purposes. Self-medication is possible, especially if heavy bleeding needs to be stopped immediately. The expiration date is written on the packaging, which is also important not to violate, otherwise the desired result can not be expected. family first aid kit – the best place for storing hemostatic sponges.

Analogues

Some patients are sure that the hemostatic sponge is not able to stop the bleeding and alleviate the patient's plight. In reality, the effect of this medication is selective, in addition, it is important to take into account the risk of side effects. In such clinical pictures, the attending physician introduces a replacement, suggests using an analogue of the indicated pharmacological group. Here is a replacement worthy for modern pharmacology, which can also be purchased on the free market, but after consulting with your doctor:

Hemostatic sponge price

The specified drug is easy to find in free sale, but it is also easy to order via the Internet on thematic sites from detailed catalogs. In the latter case, it turns out to be somewhat cheaper, and delivery is not delayed. Before making such a relevant purchase for yourself, it is important to find out not how much a hemostatic sponge costs, but whether it is suitable for a particular clinical picture patient or not. If there are no medical contraindications for use, you can use reliable information from the table below with capital prices:

Name of a pharmacy in Moscow

The cost of the drug 50X50 mm, rubles

Note!

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The hemostatic sponge is an effective hemostatic agent that is widely used in various areas of medicine, in particular, in dentistry after tooth extraction.

It has absorbent and antiseptic properties, while stopping the blood and protecting the wound from pathogenic bacteria entering it. In addition, the tool promotes the speedy healing of damaged tissues of the hole.

Varieties

After tooth extraction, the remedy is used not only to stop the blood, but also to prevent the development of possible inflammatory complications in the event of a complex surgical intervention, such as the extraction of a wisdom tooth.

In a routine procedure for removing a unit of dentition, a collagen hemostatic sponge is used to stop bleeding.

After surgery, when development is possible inflammatory process in the hole, doctors recommend the use of a special alveolar compress "Alvostasis", which also has the shape of a sponge. It has hemostatic and antiseptic properties and is used for the prevention and treatment of alveolitis.

Release form

The hemostatic sponge is a pressed powder of a dark yellow hue with a slight smell of acetic acid. Sponges are produced in the form of square plates measuring 50x50 mm or 90x90 mm and have a dry porous elastic structure.

In production, they are placed in tightly closed plastic bags, and then packaged in cardboard packages individually.

Sponges absorb liquid well, while swelling a little. They do not dissolve in cold water and substances organic nature, however, are subject to partial dissolution in water having a temperature above 75 degrees.

Pressed plates are made from a collagen solution obtained from the skin and tendons of cattle. Substances such as nitrofural and boric acid are used as additional components.

One of the most effective is Alvostaz, which is packaged in plastic jars of 30 impregnated medicinal solution hemostatic sponges 1x1 cm in size. It is produced in 3 versions and contains eugenol, iodoform, thymol, lidocaine, tricalcium phosphate and propolis.

How does it work?

The hemostatic agent is applied topically to pack the wound and has a wide range of actions, including:

• stopping the blood;
• protection of the wound from the development of bacterial infection;
• relief of foci of inflammation;
• getting rid of pain;
• prevention of swelling of the gum tissue;
• acceleration of the healing of the hole.

The action of the remedy continues for several hours after tooth extraction. After a certain time, the complete resorption of the collagen sponge placed on the wound in the gum occurs.

The cervix is ​​​​the junction of the uterus with the vagina itself, it is the narrowest lower part of it. Its mucosa blocks the entry of microorganisms into the uterus, so it is vulnerable and prone to diseases such as erosion, inflammation and tumors, and others.

If you suspect an oncological disease or to confirm the results of cytology, a biopsy procedure is performed - this is taking a small area of ​​tissue for analysis for further laboratory analysis.

With the help of a biopsy, it became possible to diagnose oncological diseases in time and prevent their further development.

Papilomovirus damage to the tissues of the cervix has a characteristic morphological trait is the presence of koilocytes as a result of biopsy analysis. Koilocytes are called cells with various lesions of the nuclei and vacuolar dystrophy (intracellular edema).

The presence of koilocytes indicates the active presence of the papillomavirus, while normally they are absent. Such an analysis result does not indicate a cancerous and precancerous condition, but should serve as a signal to a woman to be more attentive to her health and be observed by a gynecologist.

All these local processes indicate keratinization of the squamous stratified epithelium of varying severity. Such pathological conditions are not accompanied by any symptoms, but may have clinically pronounced forms that are diagnosed with gynecological examination or colposcopy.

Acanthosis, hyperkeratosis, parakeratosis, leukoplakia are not cancerous or precancerous but should be considered along with other biopsy findings.

For example, leukoplakia, together with atypia of cells on the cervix, refers to precancer and is preferred to be removed with part of the cervix. Nevertheless, it is recommended to get rid of such pathological processes even if they are not potentially dangerous.

Under cervical dysplasia, it is customary to understand an atypical change in epithelial cells from the side of its vaginal part, which is referred to as cancerous and precancerous processes.

The first stages of this disease are characterized by reversibility, so the early detection and removal of altered tissues is of great importance in the prevention of oncological female diseases.

Dysplasia leads to abnormalities in cell structures damaged tissues lining the surface of the cervix. As a rule, the disease is detected in patients aged 25–35 years, while they have no complaints and clear clinical manifestations of the disease, therefore, laboratory, clinical, and instrumental methods are important to detect the disease.

Lyophilized hygroscopic porous mass

white with a yellowish or yellowish brown tint with a slight specific odor;

Varieties

Among the sponges used to treat hemorrhoids, two types can be distinguished.

1. Meturacol.

In addition to collagen, this collagen sponge contains methyluracil, which contributes to rapid healing wound surfaces. It should be noted that such collagen sponges can be used not only for local treatment hemorrhoids, but also in surgical practice with ulcerative necrotic lesions, bedsores and trophic ulcers.

Collagen sponges have also been used in gynecological and dental practice in the treatment of mucous membranes with ulcerative necrotic character.

2. Thrombocol. It is a collagen sponge, which has in its composition blood coagulation factors in high concentration, as well as the antiseptic Sangviritrin. Due a large number platelets, these collagen sponges quickly cope with venous bleeding.

1. Curettage is a classic method. The cervical canal is opened with the help of special tools and the cervical canal is scraped first, and then its cavity. Scrapings are made with a curette under local anesthesia or under general anesthesia.

2. Curettage in the form of dashed scrapings (trains). To do this, use a small curette. The material is taken from the fundus of the uterus to cervical canal. The method is not suitable for uterine bleeding.

3. Aspiration biopsy is performed by sucking sections of the mucous membrane. Can cause discomfort. The study is not carried out if cancer of the uterine body is suspected, since it is impossible to determine the exact localization of the tumor and the degree of its spread.

4. Pipel biopsy of the endometrium is the most modern and safest method.

Tissue sampling is carried out using a special soft tube - a pipel, inside it has a piston, like a syringe. The pipel is inserted into the uterine cavity and the piston is pulled halfway, this creates a negative pressure in the cylinder, and the endometrial tissue is sucked inward.

The procedure lasts several minutes, the cervical canal does not need to be expanded, since the diameter of the pipel is only 3 mm. The procedure is completely painless, complications or negative consequences after it are excluded.

Cervical biopsy is very important diagnostic value, because its timely implementation helps to show pathologies such as dysplasia, polyposis or cancer of the uterine neck.

The procedure is usually prescribed for 5-6 days after menstruation. Such research can be carried out in several ways.

Sighting

Such a biopsy is also called pinpoint and colposcopic. The procedure is carried out using a colposcope, which is a special forceps, which is used to take biomaterial from the uterine cervix.

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The damaged surface heals approximately 5-6 days after the procedure. The biopsy is taken from a specific, pre-planned section of the cervical canal. Usually, such a biopsy procedure is performed with a special biopsy needle.

radio wave

A similar method of biopsy of cervical structures is indicated for women who do not have a history of childbirth. Usually, the Surgitron apparatus is used to conduct a radio wave cervical biopsy.

This biopsy technique is distinguished by the absence of traditional consequences such as bleeding. Such a study is also called radioknife and excisional biopsy of the cervix.

knife

The knife procedure for obtaining a biopsy is not particularly common today, such as, for example, loop or radio wave. This procedure is not suitable for nulliparous women.

When performing a knife biopsy, anesthesia is necessarily administered to patients, and after the procedure, the woman is under medical supervision for some time.

After a knife biopsy, a suture is applied that does not require removal. After the procedure, for several days, as with other procedures, patients feel some soreness.

The essence of this procedure is that a woman is given traditional anesthesia, after which a piece of cervical tissue is captured by a special loop through which a current is passed. This technique also called electrosurgical biopsy or electroexcision.

The biopsy is taken with a tool - a loop that passes an electrical low-power discharge. This loop peels off the desired tissue element for laboratory testing.

Circular

When performing a circular biopsy, a large area of ​​the cervical tissue is captured; anesthesia is required for this procedure, and several more action than with conventional biopsy.

The procedure is more painful, bleeding after it also lasts a little longer (about a month).

Endocervical curettage

During the procedure, the superficial cervical layer is scraped, produced by a curette. The resulting sample is sent for cytological diagnostics.

laser

Laser biopsy of the uterine cervix involves taking a biopsy with a laser knife.

A similar procedure is performed in a hospital setting, since it requires general anesthesia.

Such a procedure is considered low-traumatic and uncomplicated.

Some time after analysis, there may be slight spotting of red-brown or Pink colour. In general, the procedure has no complications, is painless and is considered financially affordable.

Conchotomy

The method of biopsy conchotomy analysis is similar to the colposcopic technique, the only difference is that during the procedure, an instrument is used - a conchotome, which looks like scissors with sharp edges.

Trepanobiopsy

A biopsy study in a similar way is carried out after the presence of a large-scale epithelial lesion has been revealed after a colposcopic examination. Biopsy sampling is carried out from several sites.

What tests should be done before a cervical biopsy?

The procedure is invasive, therefore it is always accompanied by the risk associated with infection by pathogens. For prevention negative consequences, before such manipulations, an examination is prescribed.

generally accepted gynecological practice involves a comprehensive clinical and laboratory examination, including:

• coagulogram;
• clinical trial blood;
• colposcopy;
• vaginal smear for microflora;
• cytological analysis;
• screening for latent infections;
• testing for hepatitis, syphilis and HIV.

If at least one of the listed diseases is detected as a result of laboratory tests, the biopsy is postponed until the moment of recovery after a course of antibiotics.

The average price of a cervical biopsy in Moscow medical centers is about 2000-12590 rubles.

The final cost depends on the status of the hospital and the method of diagnosis.

Indications for use

The scope of application of hemostatic agents is the most diverse. It is used in violation of the integrity of the capillaries. Sponge is widely used in the dental field. Parenchymal and internal bleeding can also be stopped using a hemostatic sponge.

In addition to stopping bleeding, the drug is perfect for damaged skin, including bedsores. In medicine, sponges are often used on patients who have undergone hepatic resection and cholecystectomy.

Each package of the product contains detailed instructions for its use, which must be strictly followed in order to avoid complications. The use of a hemostatic sponge has its own nuances and features.

The doctor should prescribe such drugs, taking into account contraindications and possible side effects.

Side effects

Application after tooth extraction of a hemostatic sponge, like any other medication may be associated with the development of an allergic reaction.

To avoid this, the doctor, before prescribing the drug, asks the patient about his cases of individual intolerance to any medicinal components.

When using a hemostatic sponge, there is also a possibility of re-infection of the wound in the gum.

Available contraindications

The product can cause allergies, so the use of a hemostatic sponge is prohibited in case of individual intolerance to its components. Also, it can not be used for arterial bleeding from large vessels. With great care, such a remedy is prescribed to stop the bleeding in children.

Application procedure

After removing the sponge from the bag, it is applied to the hole of the extracted tooth. After 3-5 minutes, the bleeding stops, the sponge is saturated with blood and fits snugly to the edges of the wound.

For amplification therapeutic effect wetting of a sponge with a solution of thrombin is shown.

The use of alveolar compresses "Alvostasis" has its own characteristics. Before using them, the wound is cleaned with warm saline, after which the doctor sucks it off with a pipette.

The contents of the vial with "Alvostase" is applied to the wound in the gum, after which it is pressed down with a piece of sterile gauze for several minutes. If necessary, a gauze swab is left in the well, but not longer than for a day.

Local capillary and parenchymal bleeding, bleeding from bones, muscles and tissues, bleeding localized on the surface of the body or in its cavities.

Nasal, gum bleeding and bleeding in patients with thrombocytopenic purpura, leukemia, hemorrhagic thrombocytopathies, Osler-Randu syndrome, liver cirrhosis, chronic nephritis.

A hemostatic sponge with amben is applied topically. Before use, the drug is removed from the bottle with a sterile instrument.

A single dose depends on the nature and severity of bleeding: apply from 1/4 of a Sponge to 3-4 Sponges. After drying, the bleeding area is tamponed with pieces of a hemostatic sponge with amben, pressing them for 3-5 minutes with a sterile gauze ball.

In case of severe bleeding, the Hemostatic Sponge with Ambene is pressed against the bleeding surface with a surgical instrument with a flat polished surface in order to avoid losing part of the Hemostatic Sponge with Ambene, as is the case with the use of a gauze ball.

For a softer, longer tamponade, the Amben Hemostatic Sponge can be placed in a gauze pad. Tampons are removed after a day.

Apply topically. The drug is also used with an increase in fiorinolytic activity.

The danger of the effect of the drug on the ability to drive vehicle or potentially dangerous machinery.

The conditions for which this drug is used make it impossible to drive or use potentially dangerous machinery.

Porous collagen sponges contain furatsilin and boric acid in their composition. They are applied by applying a hemostatic sponge to the affected area for several minutes.

The cessation of bleeding is based on the ability of the sponge to soak in blood and compress blood vessels. Wound healing and antimicrobial action completes the process.

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If hemorrhoids of internal localization bleed, then the sponge is inserted into the anus. It will not be necessary to remove it back, since over time the hemostatic sponge will resolve.

The sponge is used as a hemostatic agent in cases of parenchymal and capillary bleeding of the bone marrow canal, gallbladder bed, alveolar socket after tooth extraction, sinuses of the dura mater and parenchymal organs.

Also, the tool is used to stop nosebleeds, with trophic ulcers, otitis media, bedsores and damage to the skin.

The agent is removed from the package immediately before use, while it is important to follow the rules of asepsis. Then the sponge is placed on the bleeding site and pressed against it for one or two minutes, or the bleeding surface is tightly packed over the product, and then bandaged.

After soaking with blood, the hemostatic collagen sponge adheres tightly to the bleeding surface.

If the gallbladder bed or areas of parenchymal organs are damaged, a sponge is used to close the damaged areas. In such cases, the agent is placed directly on the damaged area.

If it was not possible to stop the bleeding with the help of a sponge, it is allowed to apply a second layer of the agent. In cases of stopping bleeding, the sponge must be fixed with a U-shaped suture. Further, the operation is carried out according to accepted methods.

In order to stop bleeding from the vascular suture, it is necessary to close the bleeding site with a sponge. After the bleeding stops, the remedy is not removed, because subsequently it is completely absorbed.

The required amount and size of the sponge is determined based on the area of ​​the bleeding surface.

The sponge is an effective tool for stopping bleeding from the nose, from the sinuses of the hard shell of the brain, as well as during dental interventions, skin lesions, bedsores, otitis media, eye injuries.

A hemostatic sponge is used to fill various defects in parenchymal organs (after liver resection, for example) and to close the gallbladder bed.

The hemostatic sponge is applied topically to pack the wound. Remove the drug immediately before use, observing all the necessary rules of antiseptics.

After that, the sponge is applied to the site of bleeding, pressed to it for 2 minutes, or the surface of the bleeding is tamponed, followed by bandaging. After the sponge is saturated with blood, it fits snugly against the wound.

To close areas of the liver or gallbladder bed after cholecystectomy, the sponge must be placed in the damaged cavity. If the effect is not achieved, you can put a second layer of hemostatic sponge. After the bleeding is stopped, the sponge should be fixed with a U-shaped suture.

In order to stop bleeding from the vascular suture, the bleeding site can be closed with a sponge. After stopping the bleeding, there is no need to remove the drug, since the sponge is completely absorbed.

The amount of sponge used and the size is selected according to the volume of the cavity and the parameters of the surface to be treated.

The hemostatic sponge is used in the following cases:

• nosebleeds;
• Trophic ulcers;
• Parenchymal and capillary bleeding;
• Otitis;
• pressure sores;
• Damage to the skin.

Also, the agent is used for bleeding in patients with cirrhosis of the liver, thrombocytopenic purpura, leukemia, Osler-Randu syndrome, hemorrhagic thrombocytopathy and chronic nephritis.

The hemostatic collagen sponge is taken out of the package immediately before use, observing the basic rules of asepsis. Then it is placed and lightly pressed against the bleeding site for several minutes.

It is allowed to apply over a bandage bandage. After the sponge is saturated with blood, it will fit snugly against the bleeding surface.

In cases of damage to the gallbladder bed, as well as areas of parenchymal organs, a collagen sponge is placed directly into the damaged area.

If the application of the agent does not stop the bleeding, another one is applied over one of its layers. When bleeding stops, the sponge is fixed with a U-shaped suture, after which the operation is performed in accordance with accepted methods.

Due to the fact that the hemostatic collagen sponge, getting into the area of ​​damage, completely resolves over time, in cases of bleeding from the vascular suture, it closes the bleeding place and leaves it.

The size and amount of sponge used is determined based on the area of ​​the bleeding surface.

The hemostatic sponge with amben is removed from the vial with a sterile instrument. Further, after rapid drying, with the help of a gauze ball, the pieces of the product are pressed against the bleeding surface for 3-5 minutes.

In cases of heavy bleeding, the drug should be pressed against the bleeding surface with a tool with a flat polished surface. It is not recommended to use a gauze ball, since its removal will entail the removal of part of the product.

It is allowed to spray the crushed sponge with a sprayer or syringe, as well as its use in combination with a swab for loose tamponade of the cavity. In such cases, the tampon should be removed after 1 day.

How to use a hemostatic sponge is described in detail in the instructions. It is used only locally for wound packing.

In about 3-5 minutes, the sponge is completely saturated with blood and fits snugly to the edges of the wound. If the bleeding from the wound has not stopped, you can use another sponge, it is applied over the first one.

After stopping the bleeding, the sponge is fixed with a U-shaped suture. To enhance the effect of using a sponge, it is often recommended to moisten it with a thrombin solution.

The rules for using amben sponges are slightly different from the standard ones: the contents of the sponge bottle are used to pack the wound surface.

In this case, the sponge must be pressed down with a gauze swab or a surgical instrument for 3-5 minutes. If necessary, after the sponge falls asleep on the damaged surface, you can add a gauze swab there and even leave it in the wound cavity for no longer than a day.

Complications of the procedure

To avoid possible complications, it is necessary to follow medical instructions, which usually consist of the following restrictions:

1. In the next fortnight you can not douche;
2. Refrain from sexual activity;
3. From water procedures only a shower is allowed, a bath is strictly unacceptable;
4. Items weighing more than 3 kg - do not lift;
5. Tampons - no, pads - yes;
6. Drugs that affect blood clotting under a categorical ban;
7. Sauna or bath - absolutely not.

If, after a biopsy, the patient experiences pulling sensations in the lower abdomen, blood clots come out of the vagina, it is necessary frequent change gaskets, and the discharge has bad smell, then you need to immediately run to the gynecologist.

If the symptoms are accompanied by a high temperature, then you need to call an ambulance.

To perform the procedure, a woman is released from work for 1-2 days. The manipulation can be done as outpatient settings under local anesthesia, as well as in the operating room gynecological department when intravenous, epidural anesthesia or general anesthesia is performed.

The type of anesthesia depends on how the procedure will be performed.

To minimize the risk of complications, follow these rules after you have had a cervical biopsy:

• exclude sexual relations for 2 weeks;
• do not lift weights more than 3 kg;
• do not douche;
• do not use tampons, but pads;
• not to accept horizontal position in water - wash under the shower;
• do not take medications that affect blood clotting;
• do not visit the bath / sauna.

If, after manipulation, the lower abdomen is strongly pulled, you often have to change pads, blood clots come out, the temperature rises or an unpleasant smell of discharge appears - consult a doctor. If this happens at night, call the ambulance team.

A biopsy, except for the puncture and pipel options, is not at all a routine manipulation and can be complicated:

• damage to the vessel with the development of bleeding of varying severity;
• suppuration postoperative wound;
• with a circular or wedge-shaped biopsy, extensive scars or areas in which the epithelium abnormal for this localization grows, which will be considered a precancerous condition.

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Indications

In no case should you use the remedy for bleeding from arterial vessels.

The following reasons may prevent a biopsy:

• systemic diseases of a woman;
• pathology reproductive system;
• inflammatory diseases;
• blood coagulation disorders;
• pregnancy (relative contraindication).

The cervix is ​​permeated with many small blood vessels, their slight damage in this case can cause significant blood loss. Although a biopsy is a minor surgical intervention, this procedure is contraindicated in patients with reduced blood clotting.

Hypersensitivity to one of the components of the drug.

bleeding during menopause

premenopausal bleeding

bleeding or small bloody issues while taking hormonal drugs

violations menstrual cycle

suspicion of endometrial pathology (hyperplasia, the presence of polyps)

uterine fibroids (to assess the endometrium before deciding on the extent of the operation)

chronic inflammatory process chronic endometritis)

suspected cancer (endometrial cancer)

infertility (to assess the condition of the endometrium)

to control the assessment of the state of the endometrium after hormonal treatment

pregnancy

inflammation in the vagina and cervix

the presence of foci of inflammation in the pelvis

blood diseases: severe anemia, hemophilia, pathologies of the hemostasis system

sexually transmitted diseases

The use of Hemostatic Collagen Sponge is contraindicated in pyoderma, purulent wounds and arterial bleeding. The agent is not used for patient hypersensitivity to nitrofuran preparations, as well as to the components that make up the sponge.

The drug is not prescribed for hypersensitivity to the components that make up its composition.

The use of the Hemostatic Sponge is contraindicated in cases of purulent wounds, arterial bleeding and pyoderma.

According to the instructions, the hemostatic sponge can be used for a variety of capillary bleeding, for example, nosebleeds, bleeding after dental procedures and from the sinuses of the dura mater.

Also, this sponge is often used for parenchymal bleeding or bleeding from internal organs, as well as for alveolar bleeding.

According to the instructions, a hemostatic sponge can be used for skin lesions, including pressure sores, as well as for filling defects in parenchymal organs, for example, its use is justified after hepatic resection.

It is also used to close the gallbladder bed after a cholecystectomy.

The use of this sponge is also contraindicated for bleeding from large vessels.

Biopsy is not performed:

• with hypocoagulation (prolongation of blood clotting time, decrease in prothrombin index, INR);
• if there is an inflammatory process in the vagina, uterus or cervix;
• during menstrual bleeding;
• during pregnancy.

Complications of the procedure

The main complications of the biopsy procedure are infection and bleeding. Such events are rare, but women should be informed about the possible negative consequences of a biopsy.

point out deviations from normal recovery period may have the following symptoms:

• profuse bleeding of a bright color or dark with blood clots;
• bleeding that continues longer than a week;
• light discharge that lasts longer than 2-3 weeks;
• temperature rise to 37.5 °C and above;
• vaginal discharge with an unpleasant odor.

The cause of the infection may be not fully cured disease. In this case, to prevent aggravation of the situation, a course of antibiotics is prescribed.

Modern methods of hardware biopsy, due to the coagulating effect on damaged tissue, make it possible to avoid bleeding and prevent the formation of scars on the mucosa.

As a rule, such types of biopsy as conchotomy, radio wave, laser do not wear severe consequences and are characterized short period recovery.

After a loop and conical (circular and wedge-shaped) biopsy on the tissues of the cervix, scar tissue. In the future, these women may have problems with conception, and then with pregnancy.

Such a phenomenon as cervical adhesion is quite rare, but leads to infertility due to the fact that spermatozoa are not able to enter the uterus for further fertilization.

Negative consequences of a biopsy can be premature birth. The cervix itself is a kind of muscle that supports the uterus during pregnancy.

The operation can lead to weakening of the cervix, and it begins to open prematurely. To avoid this, doctors put stitches in the cervix of pregnant women with similar problems and then remove them before delivery.

When choosing a biopsy method, the doctor should rely not only on the proposed diagnosis, but also take into account the woman's age and her plans for future motherhood.

After the biopsy, the patient remains able-bodied, although she has vaginal discharge, which last approximately 3-4 days if the biopsy was taken by radio wave method.

If a sample of the cervical tissue was taken in a loop way, then bleeding can last several days (maximum a week).

What is a hemostatic collagen sponge used for? Indications for its use will be indicated below. Also, you will be presented detailed instructions on independent use of this product, lists its properties and contraindications for use.

• bone marrow canal;
• alveolar socket (for example, after tooth extraction);
• bed of the gallbladder, including after cholecystectomy;
• parenchymal organs (for example, after liver resection).

Prohibitions for use

In what cases should the hemostatic collagen sponge not be used by patients? The instruction states that this remedy is contraindicated for use in case of hypersensitivity to its components. Also, the drug in question cannot be used for intolerance to drugs of the nitrofuran series (including Nitrofural, Furazidin, Nitrofurantoin, Furazolidone, Nifuratela, Nifuroxazide), arterial bleeding, purulent wounds and pyoderma.

How is a collagen sponge used?

Before using the preparation in question, the sponge is carefully removed from the package (right before use), observing all aseptic rules. Then it is applied to the place of bleeding, after which it is pressed and kept in this state for 1-2 minutes.

If desired, the bleeding surface can be packed very tightly with a collagen product with its subsequent fixation (bandaging). Although experts say that after the sponge is well saturated with blood, it will adhere to the wound itself and bandages may not be needed.

To close the damaged areas of parenchymal organs or the bed of the gallbladder after cholecystectomy, the product in question is placed directly into the damaged cavity. In the event that after similar procedure bleeding has not stopped, a second layer of sponge can be applied.

As soon as the bleeding is stopped, the collagen agent is fixed with a U-shaped suture. The subsequent operation is carried out according to generally accepted methods.

If you want to stop the blood from the vessel, then the bleeding place is also covered with a sponge. After the task is completed, the product is not deleted. Subsequently, it will resolve on its own.

It should be especially noted that the amount of sponge used and its size is chosen in accordance with the volume of the cavity and the size of the bleeding surface.

Possible adverse reactions

The hemostatic collagen sponge almost never causes side effects. Sometimes during its use, the patient develops allergic reactions. In this case, you should immediately consult a doctor.

Special Information

What do you need to know before using a hemostatic collagen sponge? In the process of using this agent, it should be borne in mind that its effect is greatly enhanced if it was additionally soaked in a thrombin solution.

Similar drugs, synonyms

Synonyms this drug no. As for the analogs of the sponge, they include such agents as Natalsid, Takhokomb, Kaprofer, a hemostatic sponge with amben, Zhelplastan, a hemostatic pencil, Ferakryl, Polyhemostat, Tissukol Kit, "Ivisel".

Method of storage of the drug, terms

How long does a hemostatic collagen sponge retain its properties? Reviews of experts report that, subject to all the manufacturer's instructions, its shelf life is exactly five years. It should also be noted that the instructions say that the agent in question must be kept only in a well-ventilated, out of the reach of children, dry and protected from ingress. sunlight a place where the air temperature varies between 10-30 degrees.

This drug is released in pharmacy chains without a medical prescription.