Richard H Caesar1, Alan A McNab. 1. Orbital, Plastic and Lacrimal Clinic, The Royal Victorian Eye and Ear Hospital Melbourne, Australia.
Abstract
PURPOSE: To describe the techniques required to minimize blood loss in external dacryocystorhinostomy (DCR) under local anesthesia and to accurately measure the intraoperative blood loss through application of these techniques. METHODS: Prospective single-surgeon series to include the first 20 sequential external DCRs from June 2002. Hemostasis was maximized at each stage of the procedure. Blood loss was measured by attaching a collection pot to the first link in the vacuum tubing. Patient demographics and operative duration were recorded. RESULTS: The mean blood loss was 4.5 mL (range, 1 to 14 mL). The mean operative duration was 36 minutes (range, 25 to 65 minutes). Seventy-five percent of patients were female and 25% were male. The mean age was 57 years (range, 48 to 76 years). CONCLUSIONS: Intraoperative blood loss in external DCR can be reduced to a negligible level through careful patient preparation and operative technique. Minimal blood loss allows for patient comfort with DCR under local anesthesia.
PURPOSE: To describe the techniques required to minimize blood loss in external dacryocystorhinostomy (DCR) under local anesthesia and to accurately measure the intraoperative blood loss through application of these techniques. METHODS: Prospective single-surgeon series to include the first 20 sequential external DCRs from June 2002. Hemostasis was maximized at each stage of the procedure. Blood loss was measured by attaching a collection pot to the first link in the vacuum tubing. Patient demographics and operative duration were recorded. RESULTS: The mean blood loss was 4.5 mL (range, 1 to 14 mL). The mean operative duration was 36 minutes (range, 25 to 65 minutes). Seventy-five percent of patients were female and 25% were male. The mean age was 57 years (range, 48 to 76 years). CONCLUSIONS:Intraoperative blood loss in external DCR can be reduced to a negligible level through careful patient preparation and operative technique. Minimal blood loss allows for patient comfort with DCR under local anesthesia.
Authors: Miroslav M Knežević; Gordana P Vlajković; Milenko Ž Stojković; Dejan M Rašić; Branislav R Stanković; Marija M Božić Journal: Med Sci Monit Date: 2012-05