Türk Nöroşirürji Dergisi 2015 , Vol 25 , Num 1
Deterioration After Lumbar Discectomy due to Swelling of the Oxidized Regenerated Cellulose (Surgicel®) in the Early Postoperative Period
Aydemir KALE, Çetin AKYOL, Eren Görkem GÜN
Bülent Ecevit Üniversitesi Tıp Fakültesi, Beyin ve Sinir Cerrahisi Anabilim Dalı, Zonguldak, Türkiye One of the factors aff ecting the results of surgery in lumbar disc herniation are the applications during surgery. Iatrogenic neural injury may be seen with the use of foreign material. Surgicel® (oxidized regenerated cellulose) is often used for hemostasis in neurosurgical practice and may rarely cause unexpected results with deterioration and a need for repeat surgery. Urgent surgical decompression is needed if recurrent disc herniation, hematoma, or unremoved Surgicel® causes acute neurological deterioration. We present a young man who was operated with a diagnosis of L5-S1 disc herniation and had acute neurological deterioration at the post operative 36th hour. Total neurological improvement was recorded with urgent surgical intervention. Swelling of the Surgicel®may occur after contact with blood. Surgicel® should be used very carefully to prevent compression of sensitive structures in the neighborhood. Anahtar Kelimeler : Hemostasis, Lumbar discectomy, Surgicel®