Journal of the European Society for Gynaecological Endoscopy


Complications of oxidised regenerated cellulose at Caesarean section: A report of two cases

A. Ward1, P. Ives1, A. Koumousidis1

1 Obstetrics and Gynaecology Department, Women and Children’s Division, Conquest Hospital, The Ridge, St Leaonard’s, TN37 7RD, East Sussex NHS Health Care NHS Trust

Published online: Jan 27 2023


Two patients underwent surgical deliveries within four months of one another at a single maternity unit. Both patients had complications of infection-like symptoms such as offensive vaginal discharge and pyrexia, months following their caesarean sections resulting in further surgery. The incidents were thought to be secondary to woven oxidised regenerated cellulose (ORC) use. ORC must be used according to its relevant product literature which can vary between brands. Surgeons must keep abreast of changes to the haemostatic material provided to them and therefore the properties of each type, especially when faced with bleeding not suitable for suturing or electrocautery.