History of Hemostasis in Neurosurgery.

Paulo, Danika; Semonche, Alexa; Choudhry, Osamah; Al-Mufti, Fawaz; Prestigiacomo, Charles J; Roychowdhury, Sudipta; Nanda, Anil; Gupta, Gaurav · World Neurosurg · 2019

review · Level V

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Abstract

Control of bleeding in the confined area of the skull is imperative for successful neurosurgery and the prevention of devastating complications such as postoperative hemorrhage. This paper reviews the historical evolution of methods to achieve successful hemostasis in neurosurgery from the early 1800s to today. The major categories of hemostatic agents (mechanical, chemical, and thermal) are delineated and discussed in chronologic order. The significance of this article is in its detailed history of the kinds of hemostatic methods that have evolved with our accumulating medical and surgical knowledge, which may inform future innovations and improvements.