Oxidized cellulose: an unusual cause of post hysterectomy hemorrhage

Authors

  • Amrita . Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India
  • Sandhya Jain Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India
  • Swati Sharma Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India
  • Shalini Rajaram Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India
  • Bindiya Gupta Department of Obstetrics and Gynecology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi-110095, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162685

Keywords:

Oxidized cellulose, Haemostatic material, Hysterectomy, Hemostasis

Abstract

Haemostatic material made of oxidized cellulose is a bio-absorbable fabric used widely for intraoperative haemostasis and adhesion prevention in surgery. The knit mesh facilitates platelet adhesion and aggregation during surgery. However, rarely it may cause a foreign-body reaction, which is indistinguishable from abscess or granuloma formation. This report describes a case of a local tissue reaction due to oxidized regenerated cellulose followed by vault erosion and vaginal bleeding, mimicking pelvic sepsis post hysterectomy. The signs and symptoms resolved completely following removal of the oxidized cellulose fabric.

References

Royds J, Kieran S, Timon C. Oxidized cellulose (Surgicel) based reaction post thyroidectomy mimicking an abscess: A case report. Int J Surg Case Rep. 2012;3(7):338-9.

Tam T, Harkins G, Dykes T, Gockley A, Davies M. Oxidized Regenerated Cellulose Resembling Vaginal Cuff Abscess. J Soc Laparoendosc Surg. 2014;18(2):353-6.

Somani BK, Kasthuri RS, Shave RM, Emtage LA. Surgicel granuloma mimicking a renal tumour. Surgery. 2006;139(3):451.

Salmo E, Bisset R, Aldean I. Oxidized cellulose mimicking a recurrent colorectal cancer: report of a case and review of the literature. Colorectal Dis. 2010;12(4):381-2.

Hazarika EZ. Oxidized regenerated cellulose: an effective emergency hemostatic in burns surgery. Br J Plast Surg. 1985;38:419-21.

Agarwal MM, Mandal AK, Agarwal S, Lal A, Prakash M, Mavuduru R. Surgicel granuloma: unusual cause of "recurrent" mass lesion after laparoscopic nephron-sparing surgery for renal cell carcinoma. Urology. 2010;76(2):334-5.

Alpaslan C, Alpaslan GH, Oygur T. Tissue reaction to three subcutaneously implanted local hemostatic agents. Br J Oral Maxillofac Surg. 1997;35(2):129-32.

Ibrahim MF, Aps C, Young CP. A foreign body reaction to Surgicel mimicking an abscess following cardiac surgery. Eur J Cardiothorac Surg. 2002;22(3):489-90.

Arnold A, Sodickson A. Postoperative Surgicel mimicking abscesses following cholecystectomy and liver biopsy. Emerg Radiol. 2008;15:183-5.

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Published

2017-01-11

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Section

Case Reports