! ORL via Alexandros G.Sfakianakis on Inoreader: Predictive factors for post-operative drainage after partial superficial parotidectomy: a case-control study.

! ORL via Alexandros G.Sfakianakis on Inoreader

Predictive factors for post-operative drainage after partial superficial parotidectomy: a case-control study. Aug 19th 2015, 10:44, by Chen WC, Chuang HC, Su YY, Chien CY Related Articles Predictive factors for post-operative drainage after partial superficial parotidectomy: a case-control study. J Laryngol Otol. 2015 Aug 18;:1-5 Authors: Chen WC, Chuang HC, Su YY, Chien CY Abstract OBJECTIVES: This study aimed to identify the pattern of post-operative drainage following partial superficial parotidectomy with and without the use of a bipolar vessel-sealing device. METHODS: Of the 49 patients undergoing parotidectomies, a bipolar vessel-sealing device was used for 20. Predictive factors included in the analysis were age, sex, body weight, operating time, tumour pathology, and diabetes mellitus, hypertension and smoking status. RESULTS: In multivariate analyses, body weight (p = 0.026) and non-use of a bipolar vessel-sealing device (p = 0.009) were significantly associated with increased post-operative drainage after 24 hours. There was also a trend towards increased drainage in diabetic patients. Operating times were significantly shorter in the bipolar vessel-sealing device group. CONCLUSION: Although 24-hour drainage appears adequate for most patients, in obese and diabetic individuals there is a risk of requiring increased drainage. Therefore, the drain should be left in place for a longer period. The bipolar vessel-sealing device is safe and time-efficient, and decreases the post-operative drainage period. PMID: 26282393 [PubMed - as supplied by publisher]

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