Evidence map›Paper›PMID 35965336›Full record

ArticleBMC surgery2022

Effectiveness of Hemopatch® versus Surgicel® Original to control mild and moderate liver bleeding.

Selman Uranues, Abraham Fingerhut, Eve Levin, Daniel Spazierer, Nastaran Rahimi, Bernhard Baumgartner

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07788846 (A Prospective, Randomized, Controlled, Assessor-Blinded, Three-Arm Clinical Trial Comparing Fibrillar Type-I Collagen Haemostat, Bone Wax, and Standardized Compression for Control of Cancellous Bone Marrow Bleeding Following Single-Ray Amputation), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07788846 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective, Randomized, Controlled, Assessor-Blinded, Three-Arm Clinical Trial Comparing Fibrillar Type-I Collagen Haemostat, Bone Wax, and Standardized Compression for Control of Cancellous Bone Marrow Bleeding Following Single-Ray Amputation

TypeinterventionalSponsorDr Naveen Narayan MS, MCh (Plastic Surgery)Ran2026 to 2027Enrolled135ConditionsHemostasis, Surgical Blood Loss, Amputation Stump, HemorrhageArmsFibrillar type-I collagen haemostat, Bone wax, Standardised compression protocol
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Selman UranuesSection for Surgical Research, Department of Surgery, Medical University of Graz, Graz, Austria. selman.uranues@medunigraz.at.
Abraham FingerhutSection for Surgical Research, Department of Surgery, Medical University of Graz, Graz, Austria.
Eve LevinBaxter Healthcare Corporation, Deerfield, IL, USA.
Daniel SpaziererBaxter Medical Products GmbH, Vienna, Austria.
Nastaran RahimiBaxter Medical Products GmbH, Vienna, Austria.
Bernhard BaumgartnerBaxter Healthcare Corporation, Deerfield, IL, USA.
Baxter (Austria) · ATBaxter (United States) · USMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdjunct hemostats can be of use in certain surgical settings. We compared the effectiveness of two hemostats, Hemopatch® and Surgicel® Original in controlling bleeding from liver lesions in an experimental model.

methodsControl of grades 1 (mild) and 2 (moderate) bleeding (according to the Validated Intraoperative Bleeding [VIBe] SCALE) was assessed for 10 min after Hemopatch® (n = 198) or Surgicel® Original (n = 199) application on 397 liver surface lesions. The primary endpoint was hemostatic success (reaching VIBe SCALE grade 0 at 10 min). The secondary endpoint was time to hemostasis (time to reach and maintain grade 0). A generalized linear mixed model and an accelerated failure time model were used to assess the primary and secondary endpoints, respectively.

resultsThe overall hemostatic success rate of Hemopatch® was statistically significantly superior to that of Surgicel® Original (83.8% versus 73.4%; p = 0.0036; odds ratio [OR] 2.38, 95% confidence interval [CI] 1.33-4.27) and time to hemostasis was reduced by 15.9% (p = 0.0032; 95% CI 0.749-0.944). Grade 2 bleeds treated with Hemopatch® had statistically significantly higher hemostatic success (71.7% versus 48.5%; p = 0.0007; OR 2.97, 95% CI 1.58-5.58) and shorter time to hemostasis (49.6% reduction, p = 3.6 × 10

conclusionsHemopatch® provided better control of VIBe SCALE bleeding compared to Surgicel® Original for Grade 2 bleeds in this porcine model, highlighting the importance of choosing a suitable hemostat to optimize control of bleeding during surgery.

Indexed as

Cellulose, OxidizedHemostaticsAnimalsBlood Loss, SurgicalLiverSwineCellulose, OxidizedHemostaticsSurgicelHemostasisHemostatHepatic bleedingLiverPatient safetySurgeryTraumaVIBe SCALEWound sealing

Identifiers

PMID35965336
PMCPMC9375927
OpenAlexW4291298236

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.