From the Research
Surgicel (oxidized cellulose) should be left in place after surgery for as long as it is necessary to achieve hemostasis, but it is recommended to remove it after 2-7 days or sooner if complications arise, as it can cause compression or paralysis if used around nerves or in confined spaces 1. The material works by providing a scaffold for clot formation and should be used in the minimum amount necessary to achieve hemostasis. When properly applied, Surgicel swells into a gelatinous mass that aids in the formation of a clot. Some key points to consider when using Surgicel include:
- Using the minimum amount necessary to achieve hemostasis
- Avoiding placement in confined spaces where it can expand and cause compression
- Monitoring for signs of infection, foreign body reaction, or compression of critical structures
- Removing the material if complications arise or if it is used in areas where swelling could result in compression or paralysis, such as around nerves or in bone foramina 1. It is also important to note that the absorption time of Surgicel can be influenced by factors such as the surgical site's vascularity, the amount of material used, and individual patient factors. In general, Surgicel is designed to be absorbed by the body naturally over time, usually within 2-7 days depending on the amount used and the surgical site, but it is crucial to prioritize the patient's safety and remove the material if any complications arise, as reported in a case study where a patient developed a complication associated with the use of Gelita-Cel ® Standard, a type of oxidized cellulose 2.