Oxidized regenerated cellulose resembling vaginal cuff abscess

Teresa Tam, Gerald Harkins, Thomas Dykes, Allison Gockley, Matthew Davies

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Application of oxidized regenerated cellulose is commonly performed in laparoscopy to achieve hemostasis during surgery. The appearance of an abscess resembles oxidized regenerated cellulose, causing imaging studies to be difficult to interpret. Case Description: We describe the cases of 3 patients who underwent oxidized regenerated cellulose placement during laparoscopic gynecologic surgery. They subsequently presented with signs and symptoms resembling an abscess. Computed tomographic imaging can be challenging to interpret in such cases; radiologic findings can be used to differentiate between the characteristics of oxidized regenerated cellulose and those of abscess formation on the vaginal cuff. Discussion: Oxidized regenerated cellulose has an appearance that often mimics postsurgical abscess formation. There are distinct characteristics that distinguish both findings. It is essential that patients' records accurately describe the presence and location of regenerated oxidized cellulose when placed intraoperatively, and this information must be relayed to the interpreting radiologist to facilitate medical diagnosis and guide clinical management.

Original languageEnglish (US)
Pages (from-to)353-356
Number of pages4
JournalJournal of the Society of Laparoendoscopic Surgeons
Volume18
Issue number2
DOIs
StatePublished - Jan 1 2014

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oxidized cellulose
Abscess
Laparoscopy
Gynecologic Surgical Procedures
Hemostasis
Signs and Symptoms

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "Introduction: Application of oxidized regenerated cellulose is commonly performed in laparoscopy to achieve hemostasis during surgery. The appearance of an abscess resembles oxidized regenerated cellulose, causing imaging studies to be difficult to interpret. Case Description: We describe the cases of 3 patients who underwent oxidized regenerated cellulose placement during laparoscopic gynecologic surgery. They subsequently presented with signs and symptoms resembling an abscess. Computed tomographic imaging can be challenging to interpret in such cases; radiologic findings can be used to differentiate between the characteristics of oxidized regenerated cellulose and those of abscess formation on the vaginal cuff. Discussion: Oxidized regenerated cellulose has an appearance that often mimics postsurgical abscess formation. There are distinct characteristics that distinguish both findings. It is essential that patients' records accurately describe the presence and location of regenerated oxidized cellulose when placed intraoperatively, and this information must be relayed to the interpreting radiologist to facilitate medical diagnosis and guide clinical management.",
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Oxidized regenerated cellulose resembling vaginal cuff abscess. / Tam, Teresa; Harkins, Gerald; Dykes, Thomas; Gockley, Allison; Davies, Matthew.

In: Journal of the Society of Laparoendoscopic Surgeons, Vol. 18, No. 2, 01.01.2014, p. 353-356.

Research output: Contribution to journalArticle

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