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Tamponade

A tamponade is the filling of wounds and cavities with sterile strips of gauze, as well as with a muscle, omentum or the so-called biological tampon (hemostatic sponge, fibrin film, etc.).

Tamponade is used to stop venous or capillary bleeding (hemostatic tampon), to delimit the infected area (delimiting tampon) and remove purulent discharge (suction tampon). To stop bleeding, a tight tamponade is used; in other cases, tampons are inserted loosely. To stop bleeding, dry gauze or biological tampons are used, dry gauze tampons are used to delimit the inflammatory process, and dry, ointment or moistened with an antiseptic liquid, and biological tampons are used in draining purulent wounds. Tamponade is used for venous or capillary bleeding in the depth of a narrow wound , with bleeding in the depth of a purulent wound when it is impossible to reliably stop the bleeding with a ligature.

In order to delimit the inflammatory process, tamponade is used in some operations on the abdominal organs (acute appendicitis, acute cholecystitis , etc.).

In order to evacuate purulent exudate, tamponade is used for infected wounds, including wounds that occur after the opening of abscesses ( cellulitis , mastitis, paraproctitis , etc.).

In the manufacture of material for tamponade (strips, tampons, etc.), the edges of the gauze should be wrapped inside to avoid getting into the wound thread. Swabs used in tamponade must be counted in order to subsequently remove exactly the same number of them from a wound or cavity.