Deep vein thrombosis in ear, nose and throat surgery

Graham, J. M.; Robinson, Joan; Ashcroft, P.; Glennie, R. Andrew

doi:10.1017/s002221510008227x

Cited by 10 publications

(7 citation statements)

References 6 publications

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“…9 In a population already at risk for deep venous thrombosis (DVT) due to their malignancy, longer operation has also been shown to increase the risk of DVT, with one study demonstrating higher risk specifically for durations over 4 hours. 10 Other studies looking at risk factors for intraoperatively acquired pressure sores have found operative time to be a significant contributing factor. [11][12][13] Finally, major complications, such as pulmonary embolism and myocardial infarction, have been correlated with long operations, with one study finding an almost twofold increased risk in operations longer than 7 hours.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the Use of a Barbed Suture for Skin Closure during Autologous Breast Reconstruction

Jandali

Nelson

Bergey

et al. 2011

J reconstr Microsurg

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This study compared the use of barbed suture to a traditional skin closure method for incision closure in free flap breast reconstruction. A retrospective study compared the two closure methods in consecutive series of patients undergoing autologous breast reconstruction between January 2007 and January 2009. Outcomes included total duration of operation and wound complications. We also performed a cost analysis. Use of the barbed suture significantly decreased operative time for unilateral cases by an average of 45 minutes (405 versus 360 minutes, P = 0.02). For bilateral cases, the mean operative time was decreased by an average of 10 minutes (510 versus 500 minutes, P = 0.44). There were more episodes of delayed wound healing in the bilateral barbed suture group (33/46 [72%] versus 15/31 [48%], P = 0.04). No statistical difference was noted between the two groups with regard to dehiscence, infection, or suture extrusion. Use of the barbed suture was, however, more cost-effective. The use of a barbed suture in the closure of abdominal and breast incisions in free flap breast reconstruction may expedite wound closure and reduce the cost of the procedure but may increase wound complications.

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Section: Discussionmentioning

confidence: 99%

Evaluating the Use of a Barbed Suture for Skin Closure during Autologous Breast Reconstruction

Jandali

Nelson

Bergey

et al. 2011

J reconstr Microsurg

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“…The previous article on DVT in the field of otolaryngology surveyed 68 patients undergoing head and neck operations and 35 patients undergoing otologic procedures with 125 I fibrinogen uptake tests to determine the rate of DVT 4 . The investigators found DVTs in 27.5% of patients undergoing a head and neck operation.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Deep Venous Thrombosis and Pulmonary Embolism in Otolaryngology‐Head and Neck Surgery

Moreano

Hutchison

McCulloch

et al. 1998

Otolaryngol.--head neck surg.

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“…The incidence of DVT and PE remains rarely described in the otolaryngology literature. The first article to address this question was published by Graham et al 9 in 1976 and looked at the incidence of DVT in 103 patients undergoing otologic and head-neck oncologic surgery; they found evidence of DVT in 17% of their patients. Part of the reason the incidence observed in that study was so high is likely because all their patients underwent screening with a sodium iodide I 125 fibrinogen test regardless of their symptoms or clinical appearance.…”

Section: Commentmentioning

confidence: 99%

Incidence of Venous Thromboembolism in Otolaryngology–Head and Neck Surgery

Garritano¹,

Lehman²,

Andrews³

2013

JAMA Otolaryngol Head Neck Surg

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The incidence of deep venous thrombosis and pulmonary embolism among the OTO-HNS patient population at our academic center is lower than the incidence reported in previous studies (range, 0.1%-0.3%) and is significantly lower than the incidence observed in other surgical specialties. It is likely that patient- and specialty-specific factors as well as the more aggressive use of venous thromboembolism prophylaxis during recent years are at least partially responsible for the decreased incidence in our population.

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Deep vein thrombosis in ear, nose and throat surgery

Cited by 10 publications

References 6 publications

Evaluating the Use of a Barbed Suture for Skin Closure during Autologous Breast Reconstruction

Evaluating the Use of a Barbed Suture for Skin Closure during Autologous Breast Reconstruction

Incidence of Deep Venous Thrombosis and Pulmonary Embolism in Otolaryngology‐Head and Neck Surgery

Incidence of Venous Thromboembolism in Otolaryngology–Head and Neck Surgery

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