Abstract:
AIM:To assess the efficacy of two widely used topical haemostatic agents: oxidised regenerated cellulose gauze and Collagen- Fibrinogen-Thrombin Patch in patients undergoing total thyroidectomy. MATERIAL OF STUDY:This was a prospective, comparative, non-randomised study in which consecutive patients undergoing total thyroidectomy for benign disease received standard treatment with no haemostatic agent, cellulose gauze, or CFTP. Main outcome measures were drainage volume 24 hours after surgical procedure and the occurrence of post-operative complications (haematoma, seroma, surgical-site infection). RESULTS:Two hundred seventy-one (271) patients undergoing total thyroidectomy for benign disease: 65 received standard treatment, 60 received cellulose gauze and 146 received CFTP. Seroma was significantly reduced in the CFTP group compared with both the cellulose gauze group (p=0.006) and the standard treatment group (p=0.017). A significant reduction in drainage volume was also observed with CFTP compared with the other two groups (both p<0.001). Drainage volume was also significantly reduced with cellulose gauze versus standard treatment (p<0.001). No septic events were observed after application of CFTP. One hematoma was observed in the non haemostatic group. CONCLUSIONS:Both haemostatic agents reduced the amount of sero-hematic fluid during the first 24 hours post-surgery, with CFTP more effective than oxidized cellulose gauze. The use of haemostatic agents may increase the quality of thyroid surgery, improve patient comfort after surgery, and reduce hospital stay.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Scerrino G,Paladino NC,Di Paola V,Morfino G,Amodio E,Gulotta G,Bonventre Ssubject
Has Abstractpub_date
2013-09-01 00:00:00pages
545-50issue
5eissn
0003-469Xissn
2239-253Xpii
S0003469X12018878journal_volume
84pub_type
临床试验,杂志文章abstract:INTRODUCTION:Factor VII deficiency is a rare cause of haemorrhagic syndrome. The Authors describe a case of a 46 years old patient with congenital factor VII deficiency that successfully underwent breast surgery after treatment with Novoseven® before the procedure. MATERIALS AND METHODS:The AA used the schedule report...
journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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abstract::Osteoid osteoma is a benign, bone-forming tumor. The diaphyses of the long bones are the sites of predilection (at least 50% of all cases occurring in the femur and the tibia). Also this lesion has a male preponderance and the majority of cases present in the second and third decade. We represent an unusual localizati...
journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 临床试验,杂志文章
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章
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更新日期:1991-03-01 00:00:00
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journal_title:Annali italiani di chirurgia
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doi:
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journal_title:Annali italiani di chirurgia
pub_type: 杂志文章,评审
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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journal_title:Annali italiani di chirurgia
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