Hemopatch® as a sealant in anastomotic and suture leak prevention in abdominal emergency surgery: A single-center case series

Figure 1 Intraoperative application of Hemopatch^® during manual bowel anastomosis. A: Completed hand-sewn bowel anastomosis; B: Placement of Hemopatch^® over the anastomotic line to reinforce the suture; C: Activation of the sealing layer using sodium bicarbonate solution; D: Final adherence of the hydrated Hemopatch^® to the anastomosis.

Figure 2 Surgical management of perforated gastric ulcer with reinforcement using Hemopatch^®. A: Intraoperative view of a perforated gastric ulcer; B: Primary closure of the perforation with interrupted sutures; C: Application of Hemopatch^® over the suture line to reinforce the repair and provide additional sealing.

Figure 3 Reinforcement of the infundibular stump after subtotal cholecystectomy using Hemopatch^®. A: Infundibular stump following subtotal cholecystectomy for severe cholecystitis; B: Suture closure of the infundibular region; C: Placement of Hemopatch^® over the suture line to reinforce the closure and reduce the risk of bile leakage.

Figure 4 Reinforcement of the rectal stump after anterior rectal resection. The rectal stump is covered with Hemopatch^® to protect the suture line and potentially reduce the risk of postoperative leakage (white arrow).