Objectives: To discusse the usefulness of tissue glue and TachoComb (TC), a new hemostyptic agent which combines the advantages of two reliable hemostyptic products-collagen fleece and fibrin glue in local hemostasis during laparoscopy. Setting: Department of Gynecology and Obstetrics, Endoscopic Training Centre, Hospital Kladno. Design: Review. Methods: Analysis of literary and clinical data. Results: In recent years, collagen fibers, gelatin sponges, oxidized cellulose and fibrin glue has been developed, which are now widely used in postoperative hemostasis in laparoscopy. An efficient use of these preparations shortens the duration of intervention procedures and reduces pacient strain. Conclusions: Clinical studies demonstrate that hemorrhage from damage tissue important pelvic structures can be successfully arrested and controlled using the laparoscope to apply tissue glue. At Czech study, sixteen patients have been effective treated with collagen-fibrin agent during laparoscopic operations. The elimination of hemorrhages after primary laparoscopic electrosur- gery and the effectiveness of this drug have been successfully tested.

        Key words: laparoscopy, tissue glue