Bone Wax
Hemostat for bone bleeding
Sterile mixture of natural beeswax and vaseline
- Mechanical hemostasis in bones [1 – 10]
- Hemostasis achieved by tamponade effect [11, 12]
- Achieve mechanical occlusion of intraosseous vessels [2]
- Soft, easy to shape and apply “only hand-warm [2]
[1] Alhan C, Arıtürk C, Senay S, Okten M, Güllü AU, Kilic L et al. Use of bone wax is related to increased postoperative sternal dehiscence. Kardiochir Torakochirurgia Pol 2014; 11(4):385–90.
[2] Zhou H, Ge J, Bai Y, Liang C, Yang L. Translation of bone wax and its substitutes: History, clinical status and future directions. J Orthop Translat 2019; 17:64–72.
[3] Park JS, Kong D-S, Lee J-A, Park K. Intraoperative management to prevent cerebrospinal fluid leakage after microvascular decompression: dural closure with a "plugging muscle" method. Neurosurg Rev 2007; 30(2):139-42; discussion 142.
[4] TAVLAŞOĞLU M, DURUKAN AB, KÜRKLÜOĞLU M, GÜLER A, ARSLAN Z, ŞAHİN MA et al. Comparison of sternal intramedullary bleeding prevention strategies in cardiac surgery. Turk J Med Sci 2013; 43:695–9.
[5] Elmorsy A, Abdel-Wahab A, Sabry M, Wahby E. Bone wax versus oxidized regenerated cellulose in preventing sternal intramedullary bleeding in cardiac surgery. Journal of the Egyptian Society of Cardio-Thoracic Surgery 2016; 24(4):302–7.
[6] Yu L, Gu T, Song L, Shi E, Fang Q, Wang C et al. Fibrin sealant provides superior hemostasis for sternotomy compared with bone wax. Ann Thorac Surg 2012; 93(2):641–4.
[7] Serraino GF, Dominijanni A, Jiritano F, Rossi M, Cuda A, Caroleo S et al. Platelet-rich plasma inside the sternotomy wound reduces the incidence of sternal wound infections. Int Wound J 2015; 12(3):260–4.
[8] Zhaohui L, Wanshou G, Qidong Z, Guangduo Z. Topical hemostatic procedures control blood loss in bilateral cemented single-stage total knee arthroplasty. J Orthop Sci 2014; 19(6):948–53.
[9] Ma Q, Sun C-J, Wu S, Cai X. Comparison of Blood Loss between Open-Box Prosthesis and Closed-Box Prosthesis after Primary Total Knee Arthroplasty. Orthop Surg 2021; 13(3):768–77.
[10] Stehrer R, Hunger S, Schotten K-J, Parsaei B, Malek M, Jacob M et al. Reduction of transfusion requirements in pediatric craniosynostosis surgery by a new local hemostatic agent. J Craniomaxillofac Surg 2016; 44(9):1246–51.
[11] Schonauer C, Mastantuoni C, Somma T, Falco R de, Cappabianca P, Tessitore E. Topical hemostatic agents in neurosurgery, a comprehensive review: 15 years update. Neurosurg Rev 2022; 45(2):1217–32.
[12] Achneck HE, Sileshi B, Jamiolkowski RM, Albala DM, Shapiro ML, Lawson JH. A comprehensive review of topical hemostatic agents: efficacy and recommendations for use. Ann Surg 2010; 251(2):217–228.