Wound Clot Used to Treat Hemorrhage from Metastatic-Encased Abdominal Vasculature in a Patient with Ovarian Cancer

Gemer Ofer and Yoffe Boris

Department of Gynecological Surgery and Endoscopy, Barzilai Medical Center, Israel
Department of General and Vascular Surgery and the Vascular Surgery Clinic, Barzilai Medical Center, Israel

^*Correspondance to: Yoffe Boris 

 PDF  Full Text DOI: 10.25107/2474-1647.1909

Abstract

A 72-year-old woman with ovarian cancer, which had metastasized throughout her abdomen, experienced massive haemorrhage during surgery for bilateral salpingo-oophorectomy and to remove neoplastic tissue. The metastasis had infiltrated difficult to reach anatomy, and encased several abdominal vessels, giving rise to a bleeding site which could not be controlled with direct compression. Wound Clot Hemostatic (WCH) surgical gauze, which is effective without compression, becomes a stable gel upon contact with blood; the bio absorbable gel attracts clotting factors and facilitates coagulation. Because of the extremely heavy hemorrhage, and the irregular, haphazard tumor deposits wrapped around numerous blood vessels, the surgery was performed via a unique method of peeling the tumor from the tissues in layers; with WCH applied to the bleeding at each stage of layer removal. Once hemostasis was achieved, another layer of tumor could be removed and the process repeated. Rapid and complete hemostasis was attained with wound clot.

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Cite the article

Ofer G, Boris Y. Wound Clot Used to Treat Hemorrhage from Metastatic-Encased Abdominal Vasculature in a Patient with Ovarian Cancer. Clin Surg. 2018; 3: 1909.