Abstract THE CLINICAL use of absorbable gelatin materials has been accepted as a valuable surgical adjunct in the past few years.1 Our interest in the surgical use of gelatin film was first stimulated in the course of a comparative study of the effect on human tissues of absorbable sponges and various plastic materials. As the result of these studies we felt that the film might be used as an aid in the closure of troublesome pleural defects. This report presents our experience with gelatin film used in this capacity. The gelatin film2 used was supplied in sheets of 4 by 5 inches (10.16 by 12.7 cm.), sterilized in appropriate paper packets. The film is slightly thicker than common cellophane. It can be cut with ease to any desired size or shape. It is pliable and can be sewn, although because of its brittleness it is readily torn. Its pliability References 1. Barnes, A. C.: The Use of Gelatin Foam Sponges in Obstetrics and Gynecology , Am. J. Obst. & Gynec. 54:105-107 ( (July) ) 1947. 2. Buchman, J., and Blair, J. E.: The Use of Absorbable Substances to Obliterate Bone Cavities and as Hemostatic Agents in Operative Procedures on Bones and Joints , J. Bone & Joint Surg. 29:650-658 ( (July) ) 1947. 3. Cloward, R. B., and Cunningham, E. B.: The Use of Gelatin Sponge in Prevention and Treatment of Cerebrospinal Rhinorrhea , J. Neurosurg. 4:519-525 ( (Nov.) ) 1947. 4. Cope, B. A., and Hipskind, M. M.: Use of New Agents in the Treatment of Epistaxis , Eye, Ear, Nose & Throat Monthly 26:417-419 ( (Aug.) ) 1947. 5. Correll, J. T., and Wise, E. C.: The Stability of Thrombin Penicillin or Streptomycin in the Presence of Gelatin Sponge, Oxidized Cellulose, or Each Other , Surg., Gynec. & Obst. 85:211-213 ( (Aug.) ) 1947. 6. Ficarra, B. J., and Lionello, J.: Use of Fibrin Foam in Gallbladder Fossa Following Cholecystectomy , New York State J. Med. 47:1606 ( (July 15) ) 1947. 7. Jampolis, R. W.; Jenkins, H. P.; Newman, M. M., and Nardi, G. L.: Control of Hemorrhage from the Cardiac Auricles by the Gelatin Sponge: An Experimental Study , Surgery 22:198-208 ( (Aug.) ) 1947. 8. Jenkins, H. P., and Janda, R.: Studies on Use of Gelatin Sponge or Foam as Hemostatic Agent in Experimental Liver Resections and Injuries to Large Veins , Ann. Surg. 124:952-961 ( (Nov.) ) 1946. 9. Jenkins, H. P.; Senz, E.; Owen, H., and Jampolis, R. W.: Control of Arterial Hemorrhage by a Gelatin Sponge "Cuff" and Chronic Surgical Gut Sheath: A New Experimental Method , Arch. Surg. 55:637-649 ( (Dec.) ) 1947. 10. Jenkins, H. P.; Owen, H.; Senz, E., and Jampolis, R. W.: Control of Hemorrhage from Wounds of the Heart by the Gelatin Sponge "Patch" Technique: A New Experimental Method , Am. J. Surg. 126:973-989 ( (Dec.) ) 1947. 11. Laufman, H., and Method, H.: Effects of Absorbable Foreign Substance on Bowel Anastomosis , Surg., Gynec. & Obst. 86:669-673 ( (June) ) 1948. 12. MacDonald, S. A., and Matthews, W. H.: Fibrin Foam and Gelfoam in Experimental Kidney Wounds , J. Urol. 57:802-811 ( (May) ) 1947. 13. MacDonald, S. A., and Powell, R. E.: Gelfoam Hemostasis in Prostatic Surgery , J. Urol. 57:812-815 ( (May) ) 1947. 14. Olwin, J. H., and Wahl, F. J.: The Effect of Absorbable Sponge Materials on the Activity of Thrombin , Surg., Gynec. & Obst. 86:203-212 ( (Feb.) ) 1948. 15. Pruitt, M. C.: Primary Post-Operative Hemostatic Prophylactic Dressing in Anorectal Surgery , Am. J. Surg. 75:292-295 ( (June) ) 1947. 16. Small, J. T.; Clagett, O. T., and Grindlay, J. H.: Additional Use of Gelatin Foam in Thoracic Surgery: Preliminary Report , Proc. Staff Meet., Mayo Clin. 22:585-589 ( (Dec. 24) ) 1947. 17. Rosser, C.: New Hemostatic Dressing in Anorectal Surgery , South. M. J. 39:921-925 ( (Dec.) ) 1946. 18. The kind used was gelfoam film,® supplied by the Upjohn Company, Kalamazoo, Mich.
Archives of Surgery – American Medical Association
Published: Jan 1, 1950