In the proposed article, the authors summarized the materials presented in the scientific literature and acquired their own experience of using sterile hemostatic material impregnated with a solution of hemostatic powder based on chitosan in laparoscopic cholecystectomy in patients with acute cholecystitis on the background of hepatitis in an emergency surgery clinic in patients with acute calculous cholecystitis. Of the 1832 patients with acute cholecystitis operated in 81 (4.5%) chronic hepatitis B and C. 4 patients had to resort to sterile hemostatic material soaked with a solution of hemostatic powder based on chitosan in the form of a tampon to stop the bleeding from the bed of the gall bladder. The use of a cigar-gauge gauze swab from hemostatic mercilacial membrane promotes a more thorough stop of bleeding and also reduces the duration of surgical intervention as a whole.
