Which product is indicated for Minimally Invasive Surgery (MIS) due to its coverage area?

• A. Surgicel Powder is indicated for MIS.
• B. D-Stat is indicated for MIS.
• C. PerClot is indicated for MIS.
• D. Arista is indicated for MIS.

Answer: (D)

In MIS, you want a hemostatic product that can cover a broad area of tissue through a small access point. Arista does this well because its porous, granular starch distributes easily across the bleeding surface and conforms to irregular tissue, creating a wide, effective area for clot formation as it remains in place through the restricted space of a laparoscopic port. This broad coverage helps control diffuse oozing across a larger field, which is exactly what MIS scenarios demand.

The other options are effective in their own right but are more suited to localized control. Surgicel Powder (oxidized cellulose) tends to act at a specific site and may not spread as readily over a wide area through MIS access. D-Stat (collagen-based) and PerClot (kaolin-based) also focus on localized interactions or require direct contact to work efficiently, making broad-area coverage less optimal in MIS settings.