Risk Factors for Delayed Surgical Recovery and Massive Bleeding in Skull Base Surgery.
Delayed surgical recovery
Intraoperative bleeding
Perioperative care
Postoperative complication
Skull base surgery
Journal
Biomedicine hub
ISSN: 2296-6870
Titre abrégé: Biomed Hub
Pays: Switzerland
ID NLM: 101692630
Informations de publication
Date de publication:
Historique:
received:
29
11
2019
accepted:
04
04
2020
entrez:
11
8
2020
pubmed:
11
8
2020
medline:
11
8
2020
Statut:
epublish
Résumé
To determine factors that delay surgical recovery and increase intraoperative hemorrhage in skull base surgery. Factors related to delayed postoperative recovery were retrospectively reviewed in 33 patients who underwent open skull base surgery. Early and late recovery phases were assessed as "days required to walk around the ward (DWW)" and "length of hospital stay (LHS)," respectively. Intraoperative blood loss was cal-culated every hour and analyzed in 4 steps, i.e., craniotomy and intracranial manipulation, cranial fossa osteotomy, extracranial osteotomy, and reconstruction. More than 4,000 mL of blood loss ( Blood loss, comorbidity, and postoperative complications were risk factors for delayed surgical recovery. Meticulous preoperative planning, intraoperative surefire hemostasis, and perioperative holistic management are prerequisites for safe skull base surgery.
Sections du résumé
BACKGROUND
BACKGROUND
To determine factors that delay surgical recovery and increase intraoperative hemorrhage in skull base surgery.
METHODS
METHODS
Factors related to delayed postoperative recovery were retrospectively reviewed in 33 patients who underwent open skull base surgery. Early and late recovery phases were assessed as "days required to walk around the ward (DWW)" and "length of hospital stay (LHS)," respectively. Intraoperative blood loss was cal-culated every hour and analyzed in 4 steps, i.e., craniotomy and intracranial manipulation, cranial fossa osteotomy, extracranial osteotomy, and reconstruction.
RESULTS
RESULTS
More than 4,000 mL of blood loss (
CONCLUSION
CONCLUSIONS
Blood loss, comorbidity, and postoperative complications were risk factors for delayed surgical recovery. Meticulous preoperative planning, intraoperative surefire hemostasis, and perioperative holistic management are prerequisites for safe skull base surgery.
Identifiants
pubmed: 32775338
doi: 10.1159/000507750
pii: bmh-0005-0991
pmc: PMC7392383
doi:
Types de publication
Journal Article
Langues
eng
Pagination
87-100Informations de copyright
Copyright © 2020 by S. Karger AG, Basel.
Déclaration de conflit d'intérêts
The authors declare that they have no conflict of interests.
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