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Characteristics of Postoperative Bleeding after Neck Surgery

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DOI: 10.4236/ss.2013.43036    4,937 Downloads   6,937 Views   Citations

ABSTRACT

Objective: To review the characteristics of and the procedure for preventing postoperative bleeding after neck surgery. Materials and Methods: A retrospective review of 9 patients (9/893; 1.0%) with postoperative bleeding who required reoperation was performed to analyze clinical findings. Results: There was no significant difference in the incidence of bleeding between types of surgical procedures. Postoperative bleeding occurred within 24 hours in all cases except 2, in which it occurred 7 days or more after the operation. Seven cases showed bleeding from the cut surface of the muscle. Other bleeding points included vessels and the Berry ligament. There were no additional complications after reoperation. Conclusion: When separating the muscles in neck surgery, it is important to sufficiently ligate vessels and induce coagulation with an ultrasonically activated scalpel to prevent postoperative bleeding.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

J. Nambu, K. Sugino, K. Oishi, M. Yano, M. Nishihara and K. Dohi, "Characteristics of Postoperative Bleeding after Neck Surgery," Surgical Science, Vol. 4 No. 3, 2013, pp. 192-195. doi: 10.4236/ss.2013.43036.

References

[1] A. R. Shaha and B. M. Jaffe, “Complications of Thyroid Surgery Performed by Residents,” Surgery, Vol. 104, No. 6, 1988, pp. 1109-1114.
[2] A. R. Shaha and B. M. Jaffe, “Practical Management of Post-Thyroidectomy Hematoma,” Journal of Surgical Oncology, Vol. 57, No. 4, 1994, pp. 235-238. doi:10.1002/jso.2930570406
[3] L. Lacoste, D. Gineste, J. Karayan, N. Mantaz, M. S. Lehuede, M. Girault, A. F. Bernit and J. Fusciardi, “Airway Complications in Thyroid Surgery,” Annals of Otology, Rhinology & Laryngology, Vol. 102, No. 6, 1993, pp. 441-446.
[4] S. H. Burkey, J. A. van Heerden, G. B. Thompson, C. S. Grant, C. D. Schleck and D. R. Farley, “Reexploration for Symptomatic Hematomas after Cervical Exploration,” Surgery, Vol. 130, No. 6, 2001, pp. 914-920. doi:10.1067/msy.2001.118384
[5] M. A. Rosenbaum, M. Haridas and C. R. McHenry, “Life-Threatening Neck Hematoma Complicating Thyroid and Parathyroid Surgery,” American Journal of Surgery, Vol. 195, No. 3, 2008, pp. 339-343. doi:10.1016/j.amjsurg.2007.12.008
[6] G. Abbas, S. Dubner and K. S. Heller, “Re-Operation for Bleeding after Thyroidectomy and Parathyroidectomy,” Head Neck, Vol. 23, No. 7, 2001, pp. 544-546. doi:10.1002/hed.1076
[7] R. Bergamaschi, G. Becouarn, J. Ronceray and J. P. Arnaud, “Morbidity of Thyroid Surgery,” American Journal of Surgery, Vol. 176, No. 1, 1998, pp. 71-75. doi:10.1016/S0002-9610(98)00099-3
[8] H. S. Lee, B. J. Lee, S. W. Kim, Y. W. Cha, Y. S. Choi, Y. H. Park and K. D. Lee, “Patterns of Post-Thyroidectomy Hemorrhage,” Clinical and Experimental Otorhinolaryngology, Vol. 2, No. 2, 2009, pp. 72-77. doi:10.3342/ceo.2009.2.2.72
[9] E. A. Mittendorf and C. R. McHenry, “Complications and Sequelae of Thyroidectomy and an Analysis of Surgeon Experience and Outcome,” Surgical Technolonogy International, Vol. 12, No. 1, 2004, pp. 152-157.
[10] S. Cichon, R. Anielski, P. K. Orlicki and KrzesiwoStempak, “Post-Thyroidectomy Hemorrhage,” Przegl Lek, Vol. 59, No. 7, 2002, pp. 489-492.
[11] N. Palestini, V. Tulletti, L. Cestino, R. Durando, M. Freddi, G. Sisti and A. Robecchi, “Post-Thyroidectomy Cervical Hematoma,” Minerva Chirurgica, Vol. 60, No. 1, 2005, pp. 37-46.
[12] J. Harding, F. Sebag, M. Sierra, F. F. Palazzo and J. F. Henry, “Thyroid Surgery. Postoperative Hematoma— Prevention and Treatment,” Langenbeck’s Archives of Surgery, Vol. 391, No. 3, 2006, pp. 169-173. doi:10.1007/s00423-006-0028-6
[13] W. B. Farrar, “Complications of Thyroidectomy,” Surgical Clinics of North America, Vol. 63, No. 6, 1983, pp. 1353-1361.
[14] P. E. Voutilainen and C. H. Haglund, “Ultrasonically Activated Shears in Thyroidectomies a Randomized Trial,” Annals of Surgery, Vol. 231, No. 3, 2000, pp. 322-328. doi:10.1097/00000658-200003000-00004
[15] A. E. Siperstein, E. Berber and E. Morkoyun, “The Use of the Harmonic Scalpel vs Conventional Knot Tying for Vessel Ligation in Thyroid Surgery,” Archives of Surgery, Vol. 137, No. 2, 2002, pp. 137-142. doi:10.1001/archsurg.137.2.137

  
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