Gelatin Sponge Induced Adhesive Intestinal Obstruction Following a Gynaecologic Operation (Case Report and Review of Literature)
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 11
Abstract
Early postoperative adhesive intestinal obstruction in the first week following a gynaecologic operation is an uncommon problem. Haemostatic sponges can give rise to this condition. Extensive dissection leads to bleeding and extensive deperitonealised surfaces predisposing to adhesion formation. Acute adhesive intestinal obstruction caused by inflammatory adhesions induced by haemostatic gelatin sponge necessitating exploratory laparotomy is presented. The pathophysiologic mechanisms of haemostatic gelatin sponges are discussed. Gelatin sponges can induce dense adhesions. It is best to avoid their use in gynaecologic pelvic surgery.
Authors and Affiliations
Ketan Vagholkar
Keywords
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