Tabaksert A, James T, Rusius C, Walters H, Lester S. Drainless, day-case lateral neck dissection with Artiss™ fibrin sealant: A prospective cohort study.
Head Neck 2024;
46:1146-1151. [PMID:
38465445 DOI:
10.1002/hed.27715]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 01/29/2024] [Accepted: 02/13/2024] [Indexed: 03/12/2024] Open
Abstract
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.
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