Superstat is an active topical hemostat in solid form that is economical and ready to use. The patented, freeze dried combination of physiological calcium and soluble, positively charged collagen, dissolves on contact with shed blood, producing rapid hemostasis in the local area. Superstat’s greatest asset is hemostasis, but its rapid dissolution prevents any type of foreign body reaction.
Place Superstat over a bleeding area, cover with a lap pad or gauze, and compress lightly. In two to three minutes, the Superstat has interreacted with blood, dissolved and produced a clot.
EASY TO USE
Examples of Superstat use in typical surgical applications.
Anastomosis – Bleeding or oozing from vessel repair such as carotid, femoral or distal femoral popliteal anastomosis responds nicely to Superstat application. Place Superstat in the area of surgical repair. Gently pack the area with a four by eight or a small lap pad and compress lightly. Remove after 2 or 3 minutes.
Cardiac vein bypass surgery as well as arterial transfer such as internal mammary artery frequently leads to small areas of bleeding on the vessel surface after aortic pressure is reestablished. Hemostasis is obtained by applying Superstat in very small amounts to the surgical site, packing with sponges and applying gentle compression. Hemostasis takes approximately two and one-half to three minutes.
Tunnels – Diffuse oozing caused by blunt dissection, such as a tunnel for a graft, responds to Superstat by gently inserting long strips into the tunnel from both ends. Compress the skin or soft tissue area over the bleeding. The Superstat will dissolve and diffuse the length of the tunnel ultimately producing hemostasis. Irrigate the tunnel with saline after Superstat application. Repeat the procedure if adequate hemostasis is not achieved.
Spleen – Bleeding from the capsule of the spleen, which could be inadvertently abraded with the end of a retractor, can be controlled by direct application of 1.5% Superstat on the bleeding area. Tie the Superstat to a Davis and Geck Dexon Bag to assist hemostasis. The bag may be left in place permanently. The Superstat will dissolve and the Dexon Bag will function permanently as a support for the spleen.
Livers – Apply the entire Superstat pad, either 1.5% or 3%, to the area of trauma or directly into the stellated area of the liver filling every crevice and compress with three or four large lap pads. The Superstat activates the local clotting factors enabling hemostasis immediately.
The hemiresected liver surface can be packed directly with a large five by five-inch square of 3% Superstat and compressed by a couple of laps and/or a towel. Hemostasis is realized in approximately five minutes. The large vessels at the surface (> than 2mm) require suturing.
Plastic Surgery – Superstat produces hemostasis in dissected flaps during face reconstruction. Flap bleeding is controlled with Superstat, sponges and compression after termination of the dissection and prior to re-approximating the skin edges. Superstat has often mitigated against the capillary bleeding which requires epinephrine-xylocaine injections. The Superstat prevents long term hemostasis-ecchymosis. Larger dissections such as breast reconstruction also benefits from Superstat application.
Ear, Nose and Throat – Superstat has proven remarkedly beneficial in ear, nose and throat procedures, particularly nosebleeds. Superstat is rolled into a conical shape and packed into the nasal passage to produce hemostasis. It is beneficial for cheek lacerations around the mouth, bleeding gums after surgery and maxilliofacial surgery since there is no residual to act as a foreign body.
Orthopedic Surgery – Application includes any blind, diffuse bleeding wherein the source of bleeding cannot be identified or vessels cannot be clamped. Diffuse bleeding from fractures or donor graft sites respond to direct application, sponges and compression.
Spinal Surgery: Spinal fusions produce areas of diffuse bleeding. Superstat stops this diffuse bleeding in the prepared graft site and produces hemostasis after bone grafting with another application if necessary. Superstat can be applied to the donor site as well. Application of Superstat supplement with blood over the dura after laminection produces a clot potentially mitigating against small dural leaks of cerebral spinal fluid after decompression and possible spinal headaches.
Surgery – Application in Emergency Departments include control of any areas of diffuse bleeding such as the scalp or face lacerations prior to wound closure.