Oxidised regenerated cellulose as a cause of paraplegia after thoracotomy: case report and review of the literature

Abstract

Study design: Case report. Objective: To report an unusual case of paraplegia. Setting: University Hospital Bursa, Turkey. Case report: A 22-year-old woman presented with paraplegia following a left-sided thoracotomy. Magnetic resonance imaging showed a dorsal epidural mass at the level of T6. The patient underwent an emergency T6/7 laminectomy and removal of a tuft of oxidised regenerated cellulose, which had migrated through the intervertebral foramen causing spinal cord compression. Conclusion: In cases of neurological deficits after surgery at the posterolateral edge of a thoracotomy, the clinician should be aware of the above possibility. Urgent radiological diagnosis and decompressive laminectomy is the treatment of choice.Spinal Cord (2005) 43, 445-447.

Iatrogenic spinal cord injury: an observational study

“…The causes found are the following: Surgical: laminectomy, 3 discectomy, 4 arthrodesis, 5,6 scoliosis, 7 exeresis of calcified yellow ligaments, 8 vascular surgery, 9,10 use of surgicel. 11,12 Interventionist techniques: vertebroplasty, 13 arterial embolization, 14 epidural anesthesia, 15 intramuscular injections, 16 acupuncture. 17 Drugs: platelet antiaggregants, 18 acenocumarol, 19 tumor necrosis factor.…”

Comparison of the hemostatic efficiency of Ankaferd Blood Stopper and fibrin glue on a liver laceration model in rats

“…[3] Klasik yöntemlerle veya inorganik kökenli topikal hemostatik ajanlarla yapılan hemostazlar yanık, nekroz ve artmış enflamasyon gibi sorunlara yol açabilir. [4][5][6][7][8] Fibrin yapıştırıcı (FY) cerrahi pratikte geniş kullanım alanına sahip, organik kökenli topikal hemostatik ajandır. Depolama, hazırlık ve uygulama süreci kullanımını sınırlayabilir.…”

Acute-onset Paraplegia in Post-operative D3-D5 Meningioma Excision due to Intraspinal Oxidized Cellulose

“…Inspite of the development of newer materials for hemostasis, the more commonly used materials like oxidized cellulose have not changed in last 50 years. Furthermore, the use of hemostatic agents is not free from health risks and complications can arise as a result of physical attributes of the hemostatic material like mechanical compression or due to phlogistic effects secondary to their chemical nature [5,[9][10][11]. Oxidized cellulose is obtained by dissolving alpha cellulose in an alkaline organic solvent [4].…”

“…It is usually placed in the surgical site to achieve hemostasis by formation of a gelatinous mass saturated with blood. Advantages of oxidized cellulose as a hemostatic agent include its inertness, bio-absorbability, no foreign body reaction and in-vitro antibacterial effects [4,5]. Nevertheless literature suggests that oxidized cellulose can swell and increase in volume following saturation with blood thereby leading to mechanical compression on vital anatomical structures and radiographic artifacts mimicking abscesses and tumors in CT and ultrasonography [4,[12][13][14].…”

“…It is commercially available as gauze like material and is generally inert and bio-absorbable [4]. The hemostatic action of oxidized cellulose is by formation of a gelatinous mass upon saturation with blood, which leads to formation of a stable clot [4,5]. Along with the hemostasis, the oxidized cellulose mass expands and swells due to intrinsic chemical property.…”