The control of severe intraoperative bleeding using an overlay autogenous tissue (OAT) patch: case reports

Ian Hammond; A. Obermair; J.D. Taylor; M. Lawrence-Brown

doi:10.1016/j.ygyno.2004.06.007

The control of severe intraoperative bleeding using an overlay autogenous tissue (OAT) patch: case reports

Ian Hammond, A. Obermair, J.D. Taylor, M. Lawrence-Brown

Research output: Contribution to journal › Review article

6 Citations (Scopus)

Abstract

Background. Severe intraoperative bleeding cannot always be controlled by standard surgical techniques. We recently reported a new technique to repair serious vascular injury using a free graft of omentum or rectus abdominus fascia as an overlay autogenous tissue (OAT) patch in the experimental sheep model. We now describe the successful clinical use of this patch in three patients.Case Reports. Radical surgery was performed on three patients with pelvic malignancy with resulting uncontrollable bleeding from the internal iliac vein, pelvic side wall and paravaginal venous plexuses, respectively. Hemostasis was secured using an OAT patch made of abdominus rectus fascia in two cases and appendix epiploicae as an omental substitute in the other.Discussion. The utility of the OAT patch is described in three different clinical situations. It is suggested that this technique may be especially useful to gynecologic oncologists when standard surgical techniques fail to control bleeding or there is limited access to the site of injury. (C) 2004 Elsevier Inc. All rights reserved.

Original language	English
Pages (from-to)	564-566
Journal	Gynecologic Oncology
Volume	94
DOIs	https://doi.org/10.1016/j.ygyno.2004.06.007
Publication status	Published - 2004

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title = "The control of severe intraoperative bleeding using an overlay autogenous tissue (OAT) patch: case reports",

abstract = "Background. Severe intraoperative bleeding cannot always be controlled by standard surgical techniques. We recently reported a new technique to repair serious vascular injury using a free graft of omentum or rectus abdominus fascia as an overlay autogenous tissue (OAT) patch in the experimental sheep model. We now describe the successful clinical use of this patch in three patients.Case Reports. Radical surgery was performed on three patients with pelvic malignancy with resulting uncontrollable bleeding from the internal iliac vein, pelvic side wall and paravaginal venous plexuses, respectively. Hemostasis was secured using an OAT patch made of abdominus rectus fascia in two cases and appendix epiploicae as an omental substitute in the other.Discussion. The utility of the OAT patch is described in three different clinical situations. It is suggested that this technique may be especially useful to gynecologic oncologists when standard surgical techniques fail to control bleeding or there is limited access to the site of injury. (C) 2004 Elsevier Inc. All rights reserved.",

author = "Ian Hammond and A. Obermair and J.D. Taylor and M. Lawrence-Brown",

year = "2004",

doi = "10.1016/j.ygyno.2004.06.007",

language = "English",

volume = "94",

pages = "564--566",

journal = "Gynecologic Oncology",

issn = "0090-8258",

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TY - JOUR

T1 - The control of severe intraoperative bleeding using an overlay autogenous tissue (OAT) patch: case reports

AU - Hammond, Ian

AU - Obermair, A.

AU - Taylor, J.D.

AU - Lawrence-Brown, M.

PY - 2004

Y1 - 2004

N2 - Background. Severe intraoperative bleeding cannot always be controlled by standard surgical techniques. We recently reported a new technique to repair serious vascular injury using a free graft of omentum or rectus abdominus fascia as an overlay autogenous tissue (OAT) patch in the experimental sheep model. We now describe the successful clinical use of this patch in three patients.Case Reports. Radical surgery was performed on three patients with pelvic malignancy with resulting uncontrollable bleeding from the internal iliac vein, pelvic side wall and paravaginal venous plexuses, respectively. Hemostasis was secured using an OAT patch made of abdominus rectus fascia in two cases and appendix epiploicae as an omental substitute in the other.Discussion. The utility of the OAT patch is described in three different clinical situations. It is suggested that this technique may be especially useful to gynecologic oncologists when standard surgical techniques fail to control bleeding or there is limited access to the site of injury. (C) 2004 Elsevier Inc. All rights reserved.

AB - Background. Severe intraoperative bleeding cannot always be controlled by standard surgical techniques. We recently reported a new technique to repair serious vascular injury using a free graft of omentum or rectus abdominus fascia as an overlay autogenous tissue (OAT) patch in the experimental sheep model. We now describe the successful clinical use of this patch in three patients.Case Reports. Radical surgery was performed on three patients with pelvic malignancy with resulting uncontrollable bleeding from the internal iliac vein, pelvic side wall and paravaginal venous plexuses, respectively. Hemostasis was secured using an OAT patch made of abdominus rectus fascia in two cases and appendix epiploicae as an omental substitute in the other.Discussion. The utility of the OAT patch is described in three different clinical situations. It is suggested that this technique may be especially useful to gynecologic oncologists when standard surgical techniques fail to control bleeding or there is limited access to the site of injury. (C) 2004 Elsevier Inc. All rights reserved.

U2 - 10.1016/j.ygyno.2004.06.007

DO - 10.1016/j.ygyno.2004.06.007

M3 - Review article

VL - 94

SP - 564

EP - 566

JO - Gynecologic Oncology

JF - Gynecologic Oncology

SN - 0090-8258

ER -