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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.||URI:||https://ahro.austin.org.au/austinjspui/handle/1/31007||DOI:||10.1093/jscr/rjac444||Journal:||Journal of Surgical Case Reports||PubMed URL:||36196134||ISSN:||2042-8812||Type:||Journal Article||Subjects:||Floseal
small bowel obstruction
|Appears in Collections:||Journal articles|
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