PR05POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS
Identifieur interne : 004A86 ( Istex/Corpus ); précédent : 004A85; suivant : 004A87PR05POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS
Auteurs : E. D. Kaplan ; W. M. Rozen ; R. Shayan ; S. Bernard ; G. I. Taylor ; M. W. AshtonSource :
- ANZ Journal of Surgery [ 1445-1433 ] ; 2007-05.
Abstract
Background Free tissue transfer using microvascular surgery has become a safe a reliable means to repair soft tissue and/or bony defects of the head and neck. Operative success reaches 98%, however the incidence of significant post‐operative complication is also relatively high (32%). One common and often severe complication is haematoma formation at either donor or recipient sites. The incidence of recipient site haematoma is reported at 6%, however the causes and outcomes of haematomas have not been well investigated. A retrospective historical analysis of both donor and recipient site wound haematoma was performed to identify causative factors and the effect on patient outcome.
Url:
DOI: 10.1111/j.1445-2197.2007.04127_5.x
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ISTEX:9F1BF9E91D9C2B0D2B0F40BBC89183C6C8115E83Le document en format XML
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POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS</title><author><name sortKey="Kaplan, E D" sort="Kaplan, E D" uniqKey="Kaplan E" first="E. D." last="Kaplan">E. D. Kaplan</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Victoria, Australia</mods:affiliation></affiliation></author><author><name sortKey="Rozen, W M" sort="Rozen, W M" uniqKey="Rozen W" first="W. M." last="Rozen">W. M. Rozen</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Victoria, Australia</mods:affiliation></affiliation></author><author><name sortKey="Shayan, R" sort="Shayan, R" uniqKey="Shayan R" first="R." last="Shayan">R. Shayan</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Victoria, Australia</mods:affiliation></affiliation></author><author><name sortKey="Bernard, S" sort="Bernard, S" uniqKey="Bernard S" first="S." last="Bernard">S. Bernard</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Victoria, Australia</mods:affiliation></affiliation></author><author><name sortKey="Taylor, G I" sort="Taylor, G I" uniqKey="Taylor G" first="G. I." last="Taylor">G. I. Taylor</name><affiliation><mods:affiliation>Royal Melbourne Hospital, Victoria, Australia</mods:affiliation></affiliation></author><author><name sortKey="Ashton, M W" sort="Ashton, M W" uniqKey="Ashton M" first="M. W." last="Ashton">M. W. 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POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS</title><title level="a" type="short">ANZ J. Surg. 2007; 77 (Suppl. 1)</title><author xml:id="author-0000"><persName><forename type="first">E. D.</forename><surname>Kaplan</surname></persName><affiliation>Royal Melbourne Hospital, Victoria, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">W. M.</forename><surname>Rozen</surname></persName><affiliation>Royal Melbourne Hospital, Victoria, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">R.</forename><surname>Shayan</surname></persName><affiliation>Royal Melbourne Hospital, Victoria, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">S.</forename><surname>Bernard</surname></persName><affiliation>Royal Melbourne Hospital, Victoria, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">G. I.</forename><surname>Taylor</surname></persName><affiliation>Royal Melbourne Hospital, Victoria, Australia<address><country key="AU"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">M. W.</forename><surname>Ashton</surname></persName><affiliation>Royal Melbourne Hospital, Victoria, Australia<address><country key="AU"></country></address></affiliation></author><idno type="istex">9F1BF9E91D9C2B0D2B0F40BBC89183C6C8115E83</idno><idno type="DOI">10.1111/j.1445-2197.2007.04127_5.x</idno><idno type="unit">ANS4127_5</idno><idno type="toTypesetVersion">file:ANS.ANS4127_5.pdf</idno></analytic><monogr><title level="j" type="main">ANZ Journal of Surgery</title><title level="j" type="alt">ANZ JOURNAL SURGERY</title><idno type="pISSN">1445-1433</idno><idno type="eISSN">1445-2197</idno><idno type="book-DOI">10.1111/(ISSN)1445-2197</idno><idno type="book-part-DOI">10.1111/ans.2007.77.issue-s1</idno><idno type="product">ANS</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">77</biblScope><biblScope unit="page" from="A63">A63</biblScope><biblScope unit="page" to="A63">A63</biblScope><biblScope unit="page-count">1</biblScope><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2007-05"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Background </hi> Free tissue transfer using microvascular surgery has become a safe a reliable means to repair soft tissue and/or bony defects of the head and neck. Operative success reaches 98%, however the incidence of significant post‐operative complication is also relatively high (32%). One common and often severe complication is haematoma formation at either donor or recipient sites. The incidence of recipient site haematoma is reported at 6%, however the causes and outcomes of haematomas have not been well investigated. A retrospective historical analysis of both donor and recipient site wound haematoma was performed to identify causative factors and the effect on patient outcome.</p><p><hi rend="bold">Methodology </hi> A five year review was conducted for microvascular free tissue transfer to defects in the head and neck at The Royal Melbourne Hospital, for the period from February 2001 until February 2006. The medical records of these 150 patients were reviewed for donor and recipient site wound haematoma and outcomes.</p><p><hi rend="bold">Results </hi> Significant factors for the development of post‐operative haematomas included lood pressure control during the first post‐operative, correlating with the likelihood of developing either a donor or recipient site haematoma (p value < 0.001), drain‐tube outputs (both high and low), smoking and the use of pre‐operative NSAIDs.</p><p><hi rend="bold">Conclusion </hi> There are significant reversible factors that contribute to the development of post‐operative haematomas in head and neck surgery. Close monitoring of patient blood pressure by theatre and recovery nursing staff, close monitoring of drain outputs, and pre‐operative counselling on the use of NSAIDs and smoking may all be useful in the prevention of haematoma formation.</p></abstract><textClass><classCode scheme="tocHeading1">Plastic & Reconstructive Surgery</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/9F1BF9E91D9C2B0D2B0F40BBC89183C6C8115E83/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley component found"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1445-2197</doi><issn type="print">1445-1433</issn><issn type="electronic">1445-2197</issn><idGroup><id type="product" value="ANS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="ANZ JOURNAL SURGERY">ANZ Journal of Surgery</title></titleGroup></publicationMeta><publicationMeta level="part" position="05000"><doi origin="wiley">10.1111/ans.2007.77.issue-s1</doi><numberingGroup><numbering type="journalVolume" number="77">77</numbering><numbering type="supplement">s1</numbering></numberingGroup><coverDate startDate="2007-05">May 2007</coverDate></publicationMeta><publicationMeta level="unit" type="abstract" position="246" status="forIssue"><doi origin="wiley">10.1111/j.1445-2197.2007.04127_5.x</doi><idGroup><id type="unit" value="ANS4127_5"></id></idGroup><countGroup><count type="pageTotal" number="1"></count></countGroup><titleGroup><title type="tocHeading1">Plastic & Reconstructive Surgery</title></titleGroup><eventGroup><event type="firstOnline" date="2007-04-24"></event><event type="publishedOnlineFinalForm" date="2007-04-24"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.5 mode:FullText source:Header result:Header" date="2010-04-07"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-04"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-14"></event></eventGroup><numberingGroup><numbering type="pageFirst">A63</numbering><numbering type="pageLast">A63</numbering></numberingGroup><linkGroup><link type="toTypesetVersion" href="file:ANS.ANS4127_5.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="0"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="0"></count><count type="wordTotal" number="298"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">PR05
POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS</title><title type="shortAuthors"><i>RACS Annual Scientific Congress</i>, 2006</title><title type="short"><i>ANZ J. Surg.</i> 2007; 77 (Suppl. 1)</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#aff-1-1"><personName><givenNames>E. D.</givenNames><familyName>Kaplan</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#aff-1-1"><personName><givenNames>W. M.</givenNames><familyName>Rozen</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#aff-1-1"><personName><givenNames>R.</givenNames><familyName>Shayan</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#aff-1-1"><personName><givenNames>S.</givenNames><familyName>Bernard</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#aff-1-1"><personName><givenNames>G. I.</givenNames><familyName>Taylor</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#aff-1-1"><personName><givenNames>M. W.</givenNames><familyName>Ashton</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="aff-1-1" countryCode="AU"><unparsedAffiliation>Royal Melbourne Hospital, Victoria, Australia</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Background </b> Free tissue transfer using microvascular surgery has become a safe a reliable means to repair soft tissue and/or bony defects of the head and neck. Operative success reaches 98%, however the incidence of significant post‐operative complication is also relatively high (32%). One common and often severe complication is haematoma formation at either donor or recipient sites. The incidence of recipient site haematoma is reported at 6%, however the causes and outcomes of haematomas have not been well investigated. A retrospective historical analysis of both donor and recipient site wound haematoma was performed to identify causative factors and the effect on patient outcome.</p><p><b>Methodology </b> A five year review was conducted for microvascular free tissue transfer to defects in the head and neck at The Royal Melbourne Hospital, for the period from February 2001 until February 2006. The medical records of these 150 patients were reviewed for donor and recipient site wound haematoma and outcomes.</p><p><b>Results </b> Significant factors for the development of post‐operative haematomas included lood pressure control during the first post‐operative, correlating with the likelihood of developing either a donor or recipient site haematoma (p value < 0.001), drain‐tube outputs (both high and low), smoking and the use of pre‐operative NSAIDs.</p><p><b>Conclusion </b> There are significant reversible factors that contribute to the development of post‐operative haematomas in head and neck surgery. Close monitoring of patient blood pressure by theatre and recovery nursing staff, close monitoring of drain outputs, and pre‐operative counselling on the use of NSAIDs and smoking may all be useful in the prevention of haematoma formation.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>PR05POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>ANZ J. Surg. 2007; 77 (Suppl. 1)</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>PR05
POST‐OPERATIVE HAEMATOMAS IN MICROVASCULAR FREE FLAP RECONSTRUCTION OF THE HEAD AND NECK: THE INCIDENCE, AETIOLOGY AND OUTCOME MODIFICATIONS</title></titleInfo><name type="personal"><namePart type="given">E. D.</namePart><namePart type="family">Kaplan</namePart><affiliation>Royal Melbourne Hospital, Victoria, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W. M.</namePart><namePart type="family">Rozen</namePart><affiliation>Royal Melbourne Hospital, Victoria, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.</namePart><namePart type="family">Shayan</namePart><affiliation>Royal Melbourne Hospital, Victoria, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Bernard</namePart><affiliation>Royal Melbourne Hospital, Victoria, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G. I.</namePart><namePart type="family">Taylor</namePart><affiliation>Royal Melbourne Hospital, Victoria, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M. W.</namePart><namePart type="family">Ashton</namePart><affiliation>Royal Melbourne Hospital, Victoria, Australia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2007-05</dateIssued><copyrightDate encoding="w3cdtf">2007</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="words">298</extent></physicalDescription><abstract>Background Free tissue transfer using microvascular surgery has become a safe a reliable means to repair soft tissue and/or bony defects of the head and neck. Operative success reaches 98%, however the incidence of significant post‐operative complication is also relatively high (32%). One common and often severe complication is haematoma formation at either donor or recipient sites. The incidence of recipient site haematoma is reported at 6%, however the causes and outcomes of haematomas have not been well investigated. A retrospective historical analysis of both donor and recipient site wound haematoma was performed to identify causative factors and the effect on patient outcome.</abstract><abstract>Methodology A five year review was conducted for microvascular free tissue transfer to defects in the head and neck at The Royal Melbourne Hospital, for the period from February 2001 until February 2006. The medical records of these 150 patients were reviewed for donor and recipient site wound haematoma and outcomes.</abstract><abstract>Results Significant factors for the development of post‐operative haematomas included lood pressure control during the first post‐operative, correlating with the likelihood of developing either a donor or recipient site haematoma (p value < 0.001), drain‐tube outputs (both high and low), smoking and the use of pre‐operative NSAIDs.</abstract><abstract>Conclusion There are significant reversible factors that contribute to the development of post‐operative haematomas in head and neck surgery. Close monitoring of patient blood pressure by theatre and recovery nursing staff, close monitoring of drain outputs, and pre‐operative counselling on the use of NSAIDs and smoking may all be useful in the prevention of haematoma formation.</abstract><relatedItem type="host"><titleInfo><title>ANZ Journal of Surgery</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1445-1433</identifier><identifier type="eISSN">1445-2197</identifier><identifier type="DOI">10.1111/(ISSN)1445-2197</identifier><identifier type="PublisherID">ANS</identifier><part><date>2007</date><detail type="volume"><caption>vol.</caption><number>77</number></detail><detail type="supplement"><caption>Suppl. no.</caption><number>s1</number></detail><extent unit="pages"><start>A63</start><end>A63</end><total>1</total></extent></part></relatedItem><identifier type="istex">9F1BF9E91D9C2B0D2B0F40BBC89183C6C8115E83</identifier><identifier type="DOI">10.1111/j.1445-2197.2007.04127_5.x</identifier><identifier type="ArticleID">ANS4127_5</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Asia</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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