The gynecologic surgeon attempted to control the hemorrhage by injecting ferric subsulfate (Monsel's) solution into the patient's vagina.
The ferric subsulfate solution entered the abdominal cavity via the perforation, causing peritonitis and bowel injuries.
The problem, it turns out, is that aluminum chloride and Monsel's solution (ferric subsulfate
) --common topical hemostatics used during the procedure--block the stain from binding tissue.
* Others: Topical haemostatic drugs used to achieve haemostasis include bone wax, ostene, acrylates, ferric subsulfate
solution, gelatin (gelfoam, gelfilm), microfibrillar collagen, poly-n-acetyl glucosamine, kaolinite, pro QR powder, thrombin etc.
Another topical agent that is still used in dermatologic and gynecologic procedures, but with decreased frequency, is Monsel's solution, which is composed of 20% ferric subsulfate
Monsel's is a thickened Ferric Subsulfate
solution which acts as a hemostatic agent when applied to surgical sites following biopsy or excision of diseased tissue.
Hemostasis was established by applying silver nitrate and a paste of Monsel's (ferric subsulfate
The hemostatic options were rollerball fulguration, Monsel's solution (ferric subsulfate
), silver nitrate, or fulguration combined with either Monsel's solution or silver nitrate.