Hemostasis

Adverse reactions-
Sponge may form infection and abscess. Giant cell granuloma in the brain has occured at
implation site, as well as brain andspinal cord compression due to sterile fluid accumulation.

Closure of the skin incisions ( may interfere  withn the healing of skin edges.

Special Precautions-
Sterilization- do not resterilize by heat , since heating may change absorption time.
Ethytlene oxide not recommended for resterilization

Infection- not recommended in the presence of infection. If signs and symtoms of infection
develop in the area of the sponge has been placed , reoperation may be necessary to remove
the infected material and allow drainage.

Compression- sponge may expand and impinge on nearby structures. When placing into
cavities or closed tissue spaces, use minimal preliminary compression , avoid overpacking. 

Pregnancy-  undetermined

Lactation- no information regarding breast feeding woman available

Indication-
Hemostasis

Dosage-
Apply dry or saturated with Nacl injection. When bleeding is controlled is controlled leave pieces,
in place. Since sponge causes little more cellular infiltration than the blood clot, the wound be
closed over it.

Pharmacology-
Sponge-
A sterile  pliable surgical sponge prepared from purified gelatin solution and capable of absorbing
and holding many times its weight of whole blood

Gelatin Film-
A sterile absorbable gelatin film for use in neurosurgery , throaic, and ocular surgery

Pregnancy-
Undetermined

Lactation-
No information regarding breast feeding woman available