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March 1977

Gelfoam Packing After Dacryocystorhinostomy

Author Affiliations

Iowa City, Iowa

Arch Ophthalmol. 1977;95(3):520. doi:10.1001/archopht.1977.04450030162029

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To the Editor.–Gelfoam (absorbable gelatin sponge) is a substance that has been used by almost every surgical subspeciality for obtaining hemostasis in areas where bleeding is difficult to control. For the past year, I have used this substance as a nasal pack after dacryocystorhinostomies in those cases in which bleeding was present at the end of the operation. I have been delighted with this substance both in its ability to obtain and maintain hemostasis as well as in its ease of being absorbed by the surrounding tissues. The gelfoam liquifies within two to five days in the nasal cavity. This eliminates the removal of the nasal pack.

The greatest problem I have encountered with nonabsorbable packing materials is the tendency to have rebleeding when the packing is removed. Patients also frequently experience more than minor discomfort with removal of the nasal pack.

Gelfoam can be cut into strips and

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