BACKGROUND: Good bio-dressing or gauze can directly promote blood clotting, not only for extensive bleeding wound, but also for some common obstetrics and gynecology surgeries to reduce bleeding rate.
OBJECTIVE: To evaluate the material properties and biocompatibility of different bio-dressing or gauzes, and to find proper hemostatic materials for different wounds.
METHODS: An electronic search of Wanfang database was performed to retrieve articles about hemostatic materials used in obstetrics and gynecology surgery using the keywords of “obstetrics and gynecology, biomaterial, hemostatic material, gauze, collagen/chitosan”. Repetitive studies, reviews or Meta analysis were excluded, and finally 30 articles were involved.
RESULTS AND CONCLUSION: In recent years, biomedical absorbable hemostatic materials include fibrin glue, chitosan, gelatin sponge, cyano-acrylate tissue glue, oxidized cellulose and oxidized regenerated cellulose. A variety of hemostatic materials have their own characteristics, but the choice used in obstetrics and gynecology should consider various factors, including surgical site, bleeding, wound shape and size, different permeability/bleeding, different material performance and body compatibility and so on. There are no ideal materials, so the development of new rapid hemostatic materials and composite materials with good compatibility is imperative.