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Fibrin‐based haemostatic agents for reducing blood loss in adult liver resection

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Appendices

Appendix 1. Search strategies

Database

Time span

Search strategy

The Cochrane Hepato‐Biliary Group Controlled Trials Register

Date will be given at review stage

((topical AND (hemostatic OR haemostatic)) OR (fibrin AND seal*) OR TachoSil OR TachoComb OR Tisseel OR Beriplast OR Biocol OR EviCel OR Crosseal OR Hemaseel OR Quixil OR Bolheal OR ViGuard) AND (((liver OR hepatic) AND (surgery OR surgical OR resect* OR segmentectomy OR sectionectomy OR trisectionectomy OR lobectomy)) OR (hepatectomy OR hepatectomies OR hemihepatectomy OR hemi‐hepatectomy))

The Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library

Latest issue

((topical AND (hemostatic OR haemostatic)) OR (fibrin AND seal*) OR TachoSil OR TachoComb OR Tisseel OR Beriplast OR Biocol OR EviCel OR Crosseal OR Hemaseel OR Quixil OR Bolheal OR ViGuard) AND (((liver OR hepatic) AND (surgery OR surgical OR resect* OR segmentectomy OR sectionectomy OR trisectionectomy OR lobectomy)) OR (hepatectomy OR hepatectomies OR hemihepatectomy OR hemi‐hepatectomy))

PubMed

1950 to the date of search

((topical AND (hemostatic OR haemostatic)) OR (fibrin AND seal*) OR TachoSil OR TachoComb OR Tisseel OR Beriplast OR Biocol OR EviCel OR Crosseal OR Hemaseel OR Quixil OR Bolheal OR ViGuard) AND (((liver OR hepatic) AND (surgery OR surgical OR resect* OR segmentectomy OR sectionectomy OR trisectionectomy OR lobectomy)) OR (hepatectomy OR hepatectomies OR hemihepatectomy OR hemi‐hepatectomy))

MEDLINE (Ovid SP)

1948 to the date of search

(((topical and (hemostatic or haemostatic)) or (fibrin and seal*) or TachoSil or TachoComb or Tisseel or Beriplast or Biocol or EviCel or Crosseal or Hemaseel or Quixil or Bolheal or ViGuard) and (((liver or hepatic) and (surgery or surgical or resect* or segmentectomy or sectionectomy or trisectionectomy or lobectomy)) or (hepatectomy or hepatectomies or hemihepatectomy or hemi‐hepatectomy))).mp. [mp=ti, ab, sh, hw, tn, ot, dm, mf, dv, kw, ps, rs, nm, an, ui]

EMBASE (via Ovid SP)

1980 to the date of search

(((topical and (hemostatic or haemostatic)) or (fibrin and seal*) or TachoSil or TachoComb or Tisseel or Beriplast or Biocol or EviCel or Crosseal or Hemaseel or Quixil or Bolheal or ViGuard) and (((liver or hepatic) and (surgery or surgical or resect* or segmentectomy or sectionectomy or trisectionectomy or lobectomy)) or (hepatectomy or hepatectomies or hemihepatectomy or hemi‐hepatectomy))).mp. [mp=ti, ab, sh, hw, tn, ot, dm, mf, dv, kw, ps, rs, nm, an, ui]

Science Citation Index Expanded (apps.isiknowledge.com)

1900 to the date of search

TS=(((topical AND (hemostatic OR haemostatic)) OR (fibrin AND seal*) OR TachoSil OR TachoComb OR Tisseel OR Beriplast OR Biocol OR EviCel OR Crosseal OR Hemaseel OR Quixil OR Bolheal OR ViGuard) AND (((liver OR hepatic) AND (surgery OR surgical OR resect* OR segmentectomy OR sectionectomy OR trisectionectomy OR lobectomy)) OR (hepatectomy OR hepatectomies OR hemihepatectomy OR hemi‐hepatectomy)))

Table 1. Surgical and anaesthetic techniques used to minimise intraoperative blood loss and maintain haemostasis in liver surgery*

Anaesthetic techniques

Surgical techniques

Surgical instruments

Lowering venous pressure

Anatomical dissection

CUSA1

Autologous transfusion

Hepatic inflow occlusion

RFA2 needle dissection

Antifibrinolytic agents

Ischaemic preconditioning

Monopolar Dissecting Sealer3

 

Total vascular exclusion

Water jet dissection4

 

In situ hypothermic perfusion

Argon beam coagulation

Harmonic scalpel5

*Adapted from Berrevoet 2007.
1Cavitron ultrasonic surgical aspirator.
2Radiofrequency ablation.
3Saline‐linked radiofrequency sealer (TissueLink Medical Inc.).
4Laminar liquid jet dissection.
5Vibration‐powered coagulation and cutting device (Ethicon Endo‐Surgery).

Figures and Tables -
Table 1. Surgical and anaesthetic techniques used to minimise intraoperative blood loss and maintain haemostasis in liver surgery*
Table 2. Examples of fibrin‐based haemostatic agents and their main components

Product name

Fibrinogen concentration (mg/mL)

Thrombin concentration (IU/mL)

Factor XIII concentration (U/mL)

Antifibrinolytic agent

Beriplast®P (CSL Behring, Germany)

90

500

60

Bovine aprotinin: 1000 KIU/mL

Biocol® (LFB, France)

127

558

11

Bovine aprotinin: 3000 KIU/mL

Bolheal® (Kaketsuken Pharmaceutical, Japan)

80

250

75

Bovine aprotinin: 1000 KIU/mL

Evicel® ‐ formerly Crosseal® (Omrix Biopharmaceuticals, Israel)

70

1000

None

None

Quixil® (Omrix Biopharmaceuticals, Israel)

50

1000

None

Tranexamic acid: 85 to 105 mg/mL

Tachosil® (Nycomed, Switzerland)

5.5*

2.0**

None

None

Tisseel® (Baxter, Austria)

90

500

30

Bovine aprotinin: 3000 KIU/mL

*mg/cm2.
**IU/cm2.
IU: international units.
KIU: kallikrein inhibitor units.

Figures and Tables -
Table 2. Examples of fibrin‐based haemostatic agents and their main components