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Rapid Communication| Volume 40, ISSUE 4, E9-E11, April 2005

Postoperative paraplegia secondary to the use of oxidized cellulose (Surgicel)

      Abstract

      Iatrogenic paraplegia after thoracic surgery is a devastating complication. In this report, the authors present a case of paraplegia in a toddler after the resection of a mediastinal neuroblastoma. In this case, the paraplegia was caused by spinal cord compression after migration of oxidized cellulose into the spinal canal.

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      References

        • Attar S.
        • Hankins J.R.
        • Turney S.Z.
        • et al.
        Paraplegia after thoracotomy: report of five cases and review of the literature.
        Ann. Thorac. Surg. 1995; 59: 1410-1416
        • Wada E.
        • Yonenobu K.
        • Ebara S.
        • et al.
        Epidural migration of hemostatic agents as a cause of postthoracotomy paraplegia.
        J. Neurosurg. 1993; 78: 658-660
        • Walker W.E.
        Paraplegia associated with thoracotomy.
        Ann. Thorac. Surg. 1990; 50: 178
        • Short H.D.
        Paraplegia associated with the use of oxidized cellulose in posterolateral thoracotomy incisions.
        Ann. Thorac. Surg. 1990; 50: 288-290
        • Brodbelt A.R.
        • Miles J.B.
        • Foy P.M.
        • et al.
        Intraspinal oxidized cellulose (Surgicel) causing delayed paraplegia after thoracotomy—a report of three cases.
        Ann. R. Coll. Surg. Engl. 2002; 84: 97-99
        • Iwabuchi S.
        • Koike K.
        • Okabe T.
        • et al.
        Iatrogenic paraplegia caused by Surgicel used for hemostasis during a thoracotomy: report of a case.
        Surg. Today. 1997; 27: 969-970
        • Lovstad R.Z.
        • Steen P.A.
        • Forsman M.
        Paraplegia after thoracotomy—not caused by epidural catheter.
        Acta Anaesthesiol. Scand. 1999; 43: 230-232
        • Awwad E.E.
        • Smith K.R.
        MRI of marked dural sac compression by Surgicel in the immediately postoperative period after uncomplicated lumbar laminectomy.
        J. Comput. Assist. Tomogr. 1999; 23: 969-975
        • Banerjee T.
        • Goldschmidt K.
        Surgiceloma manifested as cauda equine syndrome.
        South. Med. J. 1998; 91: 481-483
      1. Surgical fibrillar and Surgicel Nu-Knit package insert.
        Johnson & Johnson, USA2004