Endoscopic dacryocystorhinostomy in patients taking aspirin perioperatively
| Autor: | Matthew Yung, Christos Merkonidis, Wendy Smith |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Dacryocystorhinostomy Analgesic Postoperative Hemorrhage medicine Humans Antipyretic Aged Retrospective Studies Aged 80 and over Aspirin medicine.diagnostic_test Lacrimal Apparatus Diseases business.industry Warfarin Retrospective cohort study Endoscopy Middle Aged Surgery Regimen Epistaxis Treatment Outcome Otorhinolaryngology Anesthesia Female business Nasolacrimal Duct Platelet Aggregation Inhibitors medicine.drug |
| Zdroj: | American journal of otolaryngology. 27(5) |
| ISSN: | 0196-0709 |
| Popis: | Purpose The aim of this study is to report the results of endoscopic dacryocystorhinotomy (EDCR) in patients who did not interrupt their low-dose (75–150 mg daily) aspirin regimen for the procedure. Materials and methods A case note review was made of all 40 patients taking aspirin who had EDCR at Ipswich Hospital from May 1998 to October 2003. Age, gender, indications for surgery, complications, and outcome were analyzed and the bleeding rate compared to that in patients who were not on aspirin or warfarin who had an EDCR. Results Of the 51 EDCRs performed in the 40 patients, 47 had complete relief of epiphora. Two of the patients with a persistent watering eye are to have revision surgery, 1 patient was observed (75% improvement), and 1 patient has since died. A total of 33 patients had no postoperative complications; 5 had epistaxis but only 1 of these required a nasal pack; 1 each had minor periorbital bruising, confusion, and facial pain, none of which delayed discharge. None required readmission. Of 257 EDCRs in patients not on aspirin or warfarin, 1.3% had epistaxis resulting in delayed discharged or readmission. Conclusions EDCR is a safe and efficacious treatment in patients with distal nasolacrimal obstruction in patients taking aspirin and does not require stopping the aspirin perioperatively. |
| Databáze: | OpenAIRE |
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