title: The use of an overlay autogenous tissue (OAT) patch to control intra-operative haemorrhage of the spleen.
abstract: BACKGROUND
  During major abdomino-pelvic surgery, there is a risk of severe haemorrhage. When routine measures at haemostasis fail, the overlay autogenous tissue (OAT) patch may be useful to control bleeding.
  
  
  METHODS
  We present a case report of the use of the use of an OAT patch to control haemorrhage of the spleen incurred during tertiary cytoreduction.
  
  
  CONCLUSIONS
  The OAT patch should be considered in situations where bleeding is unable to be controlled after routine measures have failed and in instances other than for vascular injury alone. This technique has implications for practice in a wide range of gynaecologic oncology surgery.
authors.affiliation: Queensland Centre for Gynaecological Cancer, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. andrea_garrett@health.qld.gov.au
authors.forename: Andrea J
authors.initials: AJ
authors.lastname: Garrett
authors.forename: James L
authors.initials: JL
authors.lastname: Nicklin
authors.forename: Russell
authors.initials: R
authors.lastname: Land
mesh_terms: D000008:Abdominal Neoplasms / Q000556:secondary / Q000601:surgery*; D000368:Aged; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy; D010051:Ovarian Neoplasms / Q000601:surgery*; D013158:Splenic Diseases / Q000209:etiology / Q000628:therapy*