Efficacy of polyglycolic acid sheets and fibrin glue for the prevention of post-ELPS bleeding.
Auris Nasus Larynx
; 48(3): 471-476, 2021 Jun.
Article
em En
| MEDLINE
| ID: mdl-33067053
ABSTRACT
OBJECTIVE:
To assess the efficacy and safety of a covering method using polyglycolic acid (PGA) sheets and fibrin glue in preventing laryngopharyngeal bleeding after endoscopic laryngopharyngeal surgery (ELPS) combined with endoscopic submucosal dissection (ESD).METHODS:
Twenty-one patients who underwent ELPS combined with ESD (28 resected pharyngeal carcinomas) were retrospectively evaluated. After completing ELPS combined with ESD, fibrinogen was sprayed onto the ulcer. A PGA sheet cut into 5 × 5 mm pieces that fit the size of the ELPS-induced ulcer was then placed over the ulcer and fixed in place with a fibrin glue comprising thrombin.RESULTS:
The resection procedure was performed for all lesions. The median long diameter of the resected specimen was 36 mm. The rate of a resected specimen diameter >30 mm, use of anticoagulant/platelet, and macroscopic classification 0-â ¡a were 68% (19/28), 19% (5/28), and 36% (10/28), respectively. The median time required to cover ELPS-induced ulcers using PGA sheets and fibrin glue was 10 min (range 3-22 min). No post-ELPS bleeding, subcutaneous emphysema, or aspiration pneumonia (0/28) was observed.CONCLUSION:
The covering method using PGA sheets and fibrin glue for ELPS-induced ulcers is considered to be sufficiently safe and effective in preventing post-ELPS laryngopharyngeal bleeding. This method could be useful in preventing post-ELPS bleeding in patients with head and neck cancer.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Ácido Poliglicólico
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Neoplasias Faríngeas
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Adesivo Tecidual de Fibrina
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Hemorragia Pós-Operatória
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Endoscopia
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Ressecção Endoscópica de Mucosa
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article