Association between blood pressure and postoperative hematomas in the patients undergoing head and neck cancer reconstruction
| Autor: | Kuan-Ying Wang, Shiao‐Lin Huang, Yu-Hsuan Hsieh, Wen-Chung Liu, Yu‐Ching Chen, Kuo-Chung Yang, Fang‐Yi Su |
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| Rok vydání: | 2018 |
| Předmět: |
Tachycardia
Adult Male medicine.medical_specialty Time Factors Postoperative hematoma Blood Pressure Free flap Free Tissue Flaps Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine Hematoma Postoperative Complications medicine Humans cardiovascular diseases Aged Retrospective Studies business.industry Head and neck cancer pathological conditions signs and symptoms Middle Aged Plastic Surgery Procedures medicine.disease Surgery body regions surgical procedures operative Blood pressure Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis cardiovascular system Free flap reconstruction Female medicine.symptom business Perfusion 030217 neurology & neurosurgery |
| Zdroj: | Headneck. 41(9) |
| ISSN: | 1097-0347 |
| Popis: | BACKGROUND Postoperative hematoma is one of the most common complications of free flap reconstruction and compromises the perfusion of pedicles and perforators. Therefore, we reviewed our patients to analyze the associated risk factors. METHOD This study involved a retrospective chart review from 2014 to 2016. We identified the patients undergoing free flap reconstructions for head and neck cancer. Patients with postoperative hematoma requiring surgical intervention were included. RESULT We enlisted 289 patients undergoing head and neck reconstructions. Eighteen patients (6.2%) had postoperative hematomas of which 12 hematomas occurred within the first 3 days and 9 in the first 24 hours. Elevated systolic blood pressure increased the risk of hematoma formation, but hematoma was not associated with higher failure rate. Tachycardia was observed in the patients with hematoma. CONCLUSIONS Transient elevated blood pressure increased the risk of hematoma. We suggest controlling systolic blood pressure below 150 mm Hg for prevention of hematoma. |
| Databáze: | OpenAIRE |
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