Use of Oxidized regenerated cellulose (Surgicel Nu-Knit) as a hemostat in laparoscopic endometriotic cystectomy- A case report

Jai Bhagwan Sharma, Rinchen Zangmo, Sunesh Kumar, Kallol Kumar Roy
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2015 · pp. 1 · doi:10.5455/2320-1770.ijrcog20150258 · W2103567826
article OA: diamond CC0
🔓 Open OA copy Full text JSON View on OpenAlex View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-07 ⓘ

Oxidized regenerated cellulose (Surgicel Nu-Knit) was effectively used to control intraoperative oozing after laparoscopic endometriotic cystectomy in a 33-year-old patient with primary infertility.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper is a case report describing laparoscopic endometriotic cystectomy in a 33-year-old woman with an ovarian endometriotic cyst measuring 4×3 cm, performed under general anesthesia for primary infertility. During surgery, adhesiolysis was done and the endometriotic cyst was removed, but post-cystectomy oozing was controlled by applying oxidized regenerated cellulose (Surgicel Nu-Knit) to bleeding points. The authors report an uneventful postoperative course and discharge after 7 hours in stable condition, with the main limitation being that evidence is limited to a single patient. This paper is centrally about endometriosis — specifically the use of oxidized regenerated cellulose for hemostasis during laparoscopic endometriotic ovarian cystectomy.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Ovary is one of the common sites for occurrence of endometriosis. Endometriosis contributes to a major cause of infertility in young women. Apart from infertility, endometriosis is one of the important causes of severe secondary dysmenorrhea and chronic pelvic pain. Endometriotic cystectomy is often required in endometriotic cysts more than 3 cm in size. A 33 year old patient married for 4 years with primary infertility was diagnosed to have an endometriotic cyst of the ovary measuring 4x3 centimeters. Patient underwent laparoscopic endometriotic cystectomy under general anesthesia. Intraoperatively, the right ovary was enlarged and was adherent to the posterior surface of uterus and the uterosacral ligament of the same side. Adhesiolysis was done followed by removal of the ovarian endometriotic cyst. Post cystectomy oozing was controlled by application of Oxidized regenerated cellulose (Surgicel Nu-Knit) on the bleeding points. Postoperative course of the patient was uneventful and she was discharged after 7 hours in stable condition.
Full text 2,845 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Keywords

Oxidized regenerated cellulose, Endometriotic cystectomy, HemostasisAbstract Ovary is one of the common sites for occurrence of endometriosis. Endometriosis contributes to a major cause of infertility in young women. Apart from infertility, endometriosis is one of the important causes of severe secondary dysmenorrhea and chronic pelvic pain. Endometriotic cystectomy is often required in endometriotic cysts more than 3 cm in size. A 33 year old patient married for 4 years with primary infertility was diagnosed to have an endometriotic cyst of the ovary measuring 4x3 centimeters. Patient underwent laparoscopic endometriotic cystectomy under general anesthesia. Intraoperatively, the right ovary was enlarged and was adherent to the posterior surface of uterus and the uterosacral ligament of the same side. Adhesiolysis was done followed by removal of the ovarian endometriotic cyst. Post cystectomy oozing was controlled by application of Oxidized regenerated cellulose (Surgicel Nu-Knit) on the bleeding points. Postoperative course of the patient was uneventful and she was discharged after 7 hours in stable condition.Metrics

References

Bouras AF. Management of blunt hepatic trauma. J Visceral Surg. 2010;10(004):351-8. Schulman C. Topical hemostasis: when, where and which one? Florida: University of Miller School of Medicine; 2006: 15-17. Schonauer C, Tessitore E, Barbagallo G, Albanese V, Moraci A. The use of local agents: bone wax, gelatin, collagen, oxidized cellulose. Eur Spine J. 2004;13(Suppl 1):S89-96. Samudrala S. Topical hemostatic agents in surgery: a surgeon’s perspective. AORN J. 2008 Sep;88(3):S2-11. Krizova P, Másová L, Suttnar J, Salaj P, Dyr JE, Homola J, et al. The influence of intrinsic coagulation pathway on blood platelets activation by oxidized cellulose. J Biomed Mater Res A. 2007 Aug;82(2):274-80. David Green D, Wong CA, Twardowski P. Efficacy of hemostatic agents in improving surgical hemostasis. Transfus Med Rev. 1996;10(3):171-82. Amir Hamzah A, Syazril Adnan A, Nor Gohar Rahman M, Hayat Khan A. Oxidized cellulose (Surgicel) as a surgical hemostat in liver injury: a case report and literature review. Int J Surg Res. 2013;2(3):21-3. Sharma JB, Malhotra M, Pundir P. Laparoscopic oxidized cellulose (Surgicel) application for small uterine perforations. Int J Gynecol Obstet. 2003;83:271-5. Sharma JB, Malhotra M. Successful management of uterine incision hemorrhage in caesarean section with topical oxidized regenerated cellulose: (Surgicel Nu-Knit): a case report. Arch Gynecol Obstet. 2006;274:115-6. Awonuga AO, Merhi ZO, Khulpateea N. Abdominal packing for intractable obstetrical and gynecologic hemorrhage. Int J Gynecol Obstet. 2006;93(2):160-3.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

endometriosischronic_pelvic_paindysmenorrheainfertility

Citation neighborhood (no data yet)

We don't have any in-corpus citations linked to this paper yet. The paper's references may be in our DB but unresolved to ``paper_id`` (resolution happens at ingest when the cited DOI matches a row we already have). Run the cross-source citation reconcile pass to retry.

References (10)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK