Durán-Briones G, Gallegos HJF, Rendón AME, Hernández-Hernández DM

Language: Spanish
References: 14
Page: 5-11
PDF size: 96.82 Kb.

ABSTRACT

Introduction: Drainage after radical neck dissection (RND) is routine and several factors impact the postoperative drainage number of days (PODND). Objective: to determine the impact of trans-operative intravenous fluid management (TOFM) in in PODND. Methods: Retrospective analysis of patients subjected to some type of radical neck dissection. Variables analyzed: blood loss volume, radical neck dissection type, surgical time, anesthesia time, and trans-operative intravenous fluid management volume. Results: 120 patients included: average age 58.3 years; 60 males and 60 females. Radical neck dissection most frequent indications: thyroid cancer (36.6%), laryngeal cancer (15.8%) and tongue cancer (7.5%). Radical neck dissection most frequent types: 47 modified radical (39.2%), 22 lateral (18.3%) and 16 supra-omohyoid (13.3%). Median surgical time 3.55 hours, median anesthesia time 4.3 hours, median blood loss 278 ml, related to transoperative intravenous fluid management. Classical radical neck dissection was performed in 13 patients in whom postoperative drainage number of days was greater than in the other types (p = 0.08). No difference in postoperative drainage number of days among the different types of radical neck dissection. An apparent association was found between trans-operative intravenous fluid management volume and postoperative drainage number of days: the greater the quantity of fluids, the greater the number of days (p = 0.001). Patients who had drain removed during the first seven days had an average of 1,500 ml infused. Patients who had an average of 3,000 ml of fluid had drainage of 10 days. Perfusion › 3,500 ml = postoperative drainage number of days ≥ 10 días. Conclusions: In the present series a statistically significant relationship was found between the TOFM and PODND. A meticulous surgical technique and an anesthesia procedure that carefully assesses fluid balance could decrease PODND.

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