Document Detail


Intraspinal oxidised cellulose (Surgicel) causing delayed paraplegia after thoracotomy--a report of three cases.
MedLine Citation:
PMID:  11995773     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Oxidised regenerated cellulose (Surgicel) is a commonly used haemostatic agent in neurosurgery, thoracic surgery, and orthopaedics. We present three cases of paraplegia after thoracic surgery during which oxidised cellulose had been used during thoracotomy for haemorrhage control, and was later found to have passed through the intervertebral foramen causing spinal cord compression. In all intraspinal and perispinal procedures, the over-liberal use of Surgicel should be avoided, and attempts made to remove all excess Surgicel once adequate haemostasis is obtained.
Authors:
A R Brodbelt; J B Miles; P M Foy; J C Broome
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  84     ISSN:  0035-8843     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-05-08     Completed Date:  2002-05-31     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  97-9     Citation Subset:  IM    
Affiliation:
The Walton Centre for Neurology and Neurosurgery, Liverpool, UK. abrodbelt@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Adult
Cellulose, Oxidized / adverse effects*
Female
Hemorrhage / prevention & control
Hemostasis, Surgical / adverse effects
Humans
Infant
Magnetic Resonance Imaging / methods
Male
Middle Aged
Paraplegia / chemically induced*
Postoperative Complications / chemically induced*
Spinal Cord Compression / chemically induced*
Thoracotomy / adverse effects*
Chemical
Reg. No./Substance:
82347-53-3/Surgicel; 9032-53-5/Cellulose, Oxidized
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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