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Drain-free neck dissection: the use of Artiss fibrin sealant

Published online by Cambridge University Press:  26 May 2022

M Bahgat Open the ORCID record for M Bahgat [Opens in a new window] ,
K H Lim  and
S Lester
M Bahgat*
Affiliation:
Department of ENT, James Cook University Hospital, Middlesbrough, UK
K H Lim
Affiliation:
Department of ENT, James Cook University Hospital, Middlesbrough, UK
S Lester
Affiliation:
Department of ENT, James Cook University Hospital, Middlesbrough, UK
*
Author for correspondence: Mr Mohammed Bahgat, Department of ENT, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK E-mail: mybahgat18@hotmail.com
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Abstract

Objective

To study the safety and efficacy of Artiss fibrin sealant in lateral neck dissection, focusing on drain retention time, length of hospital stay and post-operative complications.

Methods

A retrospective review was conducted of patients who underwent neck dissection in a UK hospital over a 12-month period.

Results

Twenty-three patients were identified; 13 patients had Artiss and a drain, 10 patients had Artiss only. All drains were removed by post-operative day 2. No post-operative fluid collections or complications were recorded. Patients who had Artiss only without a drain were discharged on post-operative day 1.

Conclusion

The use of Artiss reduced the drain retention time and hospital stay, with no post-operative complications. Neck dissection can be safely undertaken with no drain, and can potentially be carried out as a day-case procedure, with the application of Artiss. These findings benefit patients and the National Health Service by improving the patient journey and reducing overall costs.

Keywords

Neck LumpHead And Neck SurgeryCancerFibrin Tissue Adhesive
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 556 - 559
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mr M Bahgat takes responsibility for the integrity of the content of the paper

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