RT Journal
A1 Martin JD
T1 A glass half full
JF Archives of Surgery
JO Archives of Surgery
YR 2003
FD February 1
VO 138
IS 2
SP 227
OP 227
DO 10.1001/archsurg.138.2.227-a
UL http://dx.doi.org/10.1001/archsurg.138.2.227-a
AB 
We have been extremely enthusiastic about the effectiveness of CoSeal in sealing surgical anastomoses and believe that this attribute represents a significant improvement in controlling suture line bleeding. Dr Victorino notes that the time savings were not significant enough to warrant the use of CoSeal; however, we believe that the data suggest the contrary. There was a significant improvement in sealing anastomoses in this unselected population, and the differences would likely be even greater if the patients selected were only those at high risk for bleeding problems (patients requiring perioperative anti-coagulation or those receiving clopidogrel bisulfate). Selective use of CoSeal more appropriately represents our clinical practice, and in the right patient, rapid access to a reliable sealant is invaluable.