Human Plasma Fibrin Sealant Procedure (C9250)

Name of the Procedure:

Human Plasma Fibrin Sealant, vapor-heated, solvent-detergent (Artiss), 2 mL

Summary

Using human plasma-derived fibrin sealant, this procedure helps to control bleeding and promote tissue adhesion in surgery. It involves applying a special adhesive made from clotting proteins.

Purpose

This procedure is used to reduce bleeding during surgery and to adhere tissue surfaces. It is typically used in plastic, reconstructive, and burn surgeries.

Indications

• Patients undergoing plastic, reconstructive, or burn surgery.
• Situations requiring tissue adhesion or hemostasis.
• Patients who cannot use traditional sutures or staples.

Preparation

• Patients may be asked to fast for a certain period before surgery.
• Adjustments to medications, particularly blood thinners, may be required.
• Pre-procedure blood tests may be performed to assess clotting function.

Procedure Description

1. The patient is prepped and brought to the surgical area.
2. Anesthesia is administered if necessary.
3. The fibrin sealant is prepared by mixing the components as per protocol.
4. The prepared sealant is applied to the surgical site using a specialized applicator.
5. The adhesive sets in about 3 minutes, creating a stable bond for tissue adhesion and hemostasis.
6. The surgical team completes the rest of the surgery while monitoring for bleeding.

Duration

The application of the fibrin sealant typically takes a few minutes, but the entire surgical procedure length varies depending on the surgery type.

Setting

• Hospital operating room
• Surgical center

Personnel

• Surgeons specialized in the relevant field (e.g., plastic surgery, reconstructive surgery)
• Surgical nurses
• Anesthesiologists (if anesthesia is required)
• Assistants and technicians

Risks and Complications

• Allergic reactions to components of the sealant
• Infection at the application site
• Poor adhesion or failure to achieve desired hemostasis
• Rare bloodborne pathogen transmission risk due to human plasma origin

Benefits

• Effective reduction of surgical bleeding
• Improved tissue adhesion
• Reduced need for sutures and staples
• Faster healing process

Recovery

• Post-procedure guidelines involve regular wound care.
• The surgical site should be checked regularly for signs of infection or complications.
• Most patients recover within a few weeks, although recovery time varies based on the surgery performed.

Alternatives

• Traditional sutures or staples
• Other surgical adhesives
• Electrocautery for hemostasis
• Pros: Familiarity, possibly lower cost
• Cons: May not be suitable for all tissue types or locations

Patient Experience

• Patients may feel minor discomfort at the application site.
• General anesthesia may prevent sensation during the procedure.
• Post-operative pain management typically includes over-the-counter pain medication or prescribed pain relievers.

Pain management and comfort measures are tailored to individual patients' needs and the type of surgery performed. Follow-up care is crucial to monitor healing and to address any emerging issues promptly.