Local haemostyptica are generally applied in open surgery and can also be used in minimal access surgery. Three basic materials are produced in different forms and sizes, apart from fibrin tissue sealant. These are collagen, gelatine, and cellulose.5,21
The materials consist of human, animal, or vegetable substances. Indications of application in laparoscopic surgery do not differ from indications in open surgery. Although several application tools are available for use in laparoscopic surgery, most of them can easily be applicated with forceps and reduction sleeves (Fig. 3).
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