Objective: Lateral neck dissection (LND) is performed for staging/treatment of head and neck lesions. This traditionally includes placement of a drain and inpatient admission. Drainless, day-case head and neck surgery is attractive due to cost-effectiveness and reduced length of stay, but evidence is lacking in LND. We aim to investigate Artiss™ as an alternative to drain placement, facilitating day-case LND.
Methods: A prospective review was conducted of patients who underwent LND in a UK hospital over a 22-month period.
Results: Thirty-nine patients were identified (27 Artiss™ only; 12 Artiss™ with a drain). Eight Artiss™ only patients were day-case. All drains were removed by post-operative day 2. There was no statistically significant difference in the number of complications between the two groups.
Conclusion: This observational study demonstrates that for selected patients, Artiss™ could facilitate drainless, day-case LND. Further controlled studies with matched groups and larger numbers are required to validate this.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/hed.27715 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Drainless, day-case lateral neck dissection with Artiss™ fibrin sealant: A prospective cohort study.
Head Neck
May 2024
Department of Ear, Nose and Throat, James Cook University Hospital, Middlesbrough, United Kingdom.
Objective: Lateral neck dissection (LND) is performed for staging/treatment of head and neck lesions. This traditionally includes placement of a drain and inpatient admission. Drainless, day-case head and neck surgery is attractive due to cost-effectiveness and reduced length of stay, but evidence is lacking in LND.
View Article and Find Full Text PDFDrain-Less Submandibular Gland Excision With Preserved Facial Artery.
Ear Nose Throat J
December 2022
Department of Otolaryngology, Head-Neck Surgery, University of Zagazig, Zagazig, Egypt.
Objectives: To describe our experience in excision of the submandibular gland (SMG) without drain insertion and with preservation of the facial artery as a day case surgery as well as evaluation of the surgical outcomes of this procedure.
Methods: Prospective case series study of 42 cases of chronic calcular submandibular sialadenitis that underwent SMG excision by the same surgical team during the period from 2017 to 2021. The initial surgical plan in all cases was to excise the SMG with preservation of the facial artery and without drain insertion.
Editorial Comment to Day-case catheterless and drainless minimal-access pyeloplasty in adults: A single-center experience of 13 years.
Int J Urol
May 2021
Department of Urology, Osaka Medical College, Takatsuki, Osaka, Japan.
Day-case catheterless and drainless minimal-access pyeloplasty in adults: A single-center experience of 13 years.
Int J Urol
May 2021
Department of Urology, Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Objectives: To analyze our practice of drainless and catheterless day-case minimal-access pyeloplasty with regard to feasibility, safety and long-term outcomes.
Methods: Patients undergoing minimal-access pyeloplasty (laparoscopic, with or without robotic assistance) in a single center between 2007 and 2020 were included in this retrospective observational study. Patient demographics and the success rate of day-case discharge along with postoperative outcomes were analyzed.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!