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About: Bone hemostasis     Goto   Sponge   NotDistinct   Permalink

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Bone hemostasis is the process of controlling the bleeding from bone. Bone is a living vascular organ containing channels for blood and bone marrow. When a bone is cut during surgery bleeding can be a difficult problem to control, especially in the highly vascular bones of the spine and sternum. Bleeding from soft tissue is normally stopped using a cautery that creates heat, causing blood vessels to collapse and become sealed. Since the blood in living bone flows through channels in the bone that do not collapse, a cautery is not effective in preventing bone bleeding. Blocking the holes in the bone typically stops bone bleeding. This can be done by mechanically blocking the holes (tamponade effect), or by inducing a blood clot to form.