Oxidised regenerated cellulose: an unusual cause of paraplegia following oesophagectomy
| العنوان: | Oxidised regenerated cellulose: an unusual cause of paraplegia following oesophagectomy |
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| المؤلفون: | Sumeet G. Dua, Nikhil H. Merchant, C.S. Pramesh, Nilendu Purandare |
| المصدر: | Interactive CardioVascular and Thoracic Surgery. 10:833-835 |
| بيانات النشر: | Oxford University Press (OUP), 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Pulmonary and Respiratory Medicine, medicine.medical_specialty, Esophageal Neoplasms, medicine.medical_treatment, Anterior spinal artery, Fatal Outcome, Postoperative Complications, medicine.artery, Humans, Medicine, Cellulose, Oxidized, Thoracotomy, Hemostatic function, Emergency Treatment, Epidural Hemorrhage, Paraplegia, business.industry, Laminectomy, Pneumonia, Ventilator-Associated, Middle Aged, Decompression, Surgical, medicine.disease, Spinal cord, Respiration, Artificial, Thrombosis, Hemostasis, Surgical, Surgery, Esophagectomy, medicine.anatomical_structure, Anesthesia, Disease Progression, Female, Cardiology and Cardiovascular Medicine, business |
| الوصف: | Oesophageal resection after neoadjuvant therapy is the treatment of choice in localized oesophageal cancer. Common complications after oesophagectomy include pulmonary infection and anastomotic leaks. Paraplegia or paraparesis after oesophagectomy is an extremely uncommon occurrence and has not been reported in medical literature. Possible causes include injury to the spinal cord due to epidural catheter insertion, epidural haematoma and anterior spinal artery thrombosis. Pressure on the spinal cord due to migrated oxidised regenerated cellulose (ORC) is an extremely rare cause. Meticulous haemostasis at the costovertebral angle with a combination of pressure and electrocautery is advocated to prevent this rare but catastrophic complication. We describe a middle aged woman who developed post-thoracotomy paraplegia following ORC compression on the spinal cord. |
| تدمد: | 1569-9285 1569-9293 |
| DOI: | 10.1510/icvts.2009.229583 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::328d5fc9a625fb72a7f39523b4fa99cb https://doi.org/10.1510/icvts.2009.229583 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....328d5fc9a625fb72a7f39523b4fa99cb |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15699285 15699293 |
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| DOI: | 10.1510/icvts.2009.229583 |