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Title: Floseal-induced small bowel obstruction.
Austin Authors: Ashraf, Hamza;Low, Nicholas ;Spiro, Calista;Keong, Benjamin
Affiliation: Surgery (University of Melbourne)
Issue Date: Sep-2022
Date: 2022
Publication information: Journal of Surgical Case Reports; 2022(9): rjac444
Abstract: Floseal is a haemostatic agent designed to augment the body's natural clotting cascade response. We describe the first case in over a decade, and the first case with intra-operative images of early post-operative small bowel obstruction (SBO) associated with Floseal use in general surgery. A previously well man in his 30s underwent laparoscopic appendicectomy for clinical acute appendicitis. Floseal was applied to the right lateral abdominal wall for haemostasis. He developed a mechanical SBO, with diagnostic laparoscopy confirming a transition point between the caecum and terminal ileum, adherent to the area of the previously applied Floseal. He underwent adhesiolysis and uneventful recovery. We propose Floseal may exacerbate early post-operative inflammation and provide a nidus for early adhesion formation. We recommend removing excess Floseal not incorporated in the haemostatic clot and to consider Floseal as a differential in early post-operative SBO.
DOI: 10.1093/jscr/rjac444
Journal: Journal of Surgical Case Reports
PubMed URL: 36196134
ISSN: 2042-8812
Type: Journal Article
Subjects: Floseal
haemostatic agent
laparoscopic surgery
small bowel obstruction
Appears in Collections:Journal articles

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