Hematoma Formation in Deep Plane Rhytidectomy

Kamer, Frank M.; Song, Angie U.

doi:10.1001/archfaci.2.4.240

Cited by 39 publications

(14 citation statements)

References 13 publications

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“…Other researchers said that a preoperative blood pressure omore than 150/100 mmHg was associated with a 2.6-fold greater incidence of hematoma 16 . Intraoperative hypotension increased the risk of hematoma and attributed this to rebound hypertension 17,18 . A consensus from these articles is that blood pressure should be well controlled throughout the entire perioperative period.…”

Section: Discussionmentioning

confidence: 99%

A simple, novel technique for fixing Penrose drains in minor surgeries, with advantages for remote outpatient clinics: a retrospective comparison with conventional drain fixation in North Ibaraki, Japan

Shibuya

Matsumoto

Sasaki

et al. 2017

RRH

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A B S T R A C TIntroduction: In rural areas with few doctors, Penrose drains in minor surgeries for soft tissue trauma or small subcutaneous tumors are sometimes avoided, even though the drain would prevent hematoma, because of the limited availability of professional postsurgical care. The authors developed a simple fixation method for Penrose drains that can be used even in remote areas where a doctor is not present to remove the drain. A retrospective study was conducted to compare this new method of fixing Penrose drains with instances in which the Penrose drain was fixed to skin by conventional suturing. Methods: The medical records of patients who underwent minor surgeries using Penrose drains were reviewed. The surgeries were performed from April 2012 to March 2015 in remote outpatient clinics in Ibaraki Prefecture, Japan. The cases were divided © Y Shibuya, G Matsumoto, M Sasaki, K Sasaki, K Adachi, M Sekido 2017. A Licence to publish this material has been given to James Cook University, http://www.jcu.edu.au 2 into two groups: those using the new method, in which the Penrose drains were sewn onto the wound dressings and could be automatically removed while changing the dressing, and those in which the Penrose drains were conventionally fixed to the skin and removed one or several days after surgery by another doctor at the outpatient clinic. The rates of drain-related complications and of automatic drain removal (ie removal without a doctor's assistance) between the two groups were compared. Results: A total of 54 Penrose drains used for 48 lesions in 44 patients (25 men, 19 women) in the new-method group, and 36 Penrose drains for 25 lesions in 21 patients (12 men, 9 women) in the conventional-method (control) group were analyzed. All 54 Penrose drains in the new-method group were removed automatically, while none of the 36 drains in the control group were removed automatically. There were no drain-related complications, such as massive hematoma, retrograde infection, seroma, or drain breakage or straying, in any of the new-method or control cases.Conclusions: This new Penrose-drain fixation method is safe and is particularly suitable for minor surgeries in rural areas where there are no resident doctors. The wide use of this method for appropriate minor surgeries in doctorless rural areas has the potential to reduce surgical complications and the time burden for both patients and surgeons.

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Section: Discussionmentioning

confidence: 99%

A simple, novel technique for fixing Penrose drains in minor surgeries, with advantages for remote outpatient clinics: a retrospective comparison with conventional drain fixation in North Ibaraki, Japan

Shibuya

Matsumoto

Sasaki

et al. 2017

RRH

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“…There is also the much less commonly reported possibility of buccal injury, which can happen when deep dissection is carried out medially in the midface area. 79 The subperiosteal face-lift appears to have a higher rate of all of those complications than standard subcutaneous face-lifts. 83 Contemporary reports calculate that minor hematomas occur in 1 of every 15 rhytidectomy patients.…”

Section: Rhytidectomymentioning

confidence: 99%

“…78 The incidence of more clinically relevant major hematoma after deep plane face-lift is 1 in every 45 patients. 79 Major hematomas require immediate attention to prevent the skin necrosis and infection that can develop as a consequence. 80 Hematomas generally form within the first 48 hours postsurgery, with major hematomas developing more rapidly, often within the first 12 hours following rhytidectomy surgery, and are more common in males owing to the increased blood flow in their thicker and more sebaceous skin.…”

Section: Rhytidectomymentioning

confidence: 99%

“…Thrombosis, infection, seroma, necrosis, skin sloughing, and alopecia are other, although somewhat poorly documented, complications of rhytidectomy. 79 Sensory nerve injury, particularly damage to the greater auricular nerve, is also common, leading to a loss of sensation of the lower ear area that often lasts for several weeks postsurgery in as many as 1 of every 14 patients and may be permanent in some cases. 82,98 Facial paralysis resulting from motor nerve damage during rhytidectomy is less common but still occurs in 1 in 188 to 1 in 38 surgeries.…”

Section: Rhytidectomymentioning

confidence: 99%

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Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

Yoho

Romaine²,

O'Neil³

2005

Dermatologic Surgery

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Despite the lack of reliable, comprehensive reporting of deaths and complications resulting from cosmetic surgeries, published data demonstrate that the risks associated with liposuction and rhytidectomy compare favorably with those from most general surgical procedures. In contrast, the morbidity and mortality rates from abdominoplasty remain unacceptably high. A significant lack of literature documenting cosmetic breast implant surgery and blepharoplasty risks is observed, which should be of concern to both patients and physicians. Liposuction and face-lift surgery data generally show that surgical centers are statistically safer than hospital operating rooms, although the data have not been standardized for the patients' American Society of Anesthesiologists (ASA) risk class, the health of the patient prior to surgery. General anesthesia may carry a risk roughly equivalent to or perhaps greater than cosmetic surgery, although, again, ASA class variables confound clear comparison between studies. Recent anesthesia literature refutes the many claims that general anesthesia risks are now remote: a landmark study that surveyed the entire scholarly literature showed a mortality rate of 1 in 13,000, roughly similar to overall cosmetic surgery mortality risks. Moreover, a prolonged operating time has been repeatedly implicated in other surgical literature to be related to morbidity and mortality. The latter certainly has relevance to cosmetic surgery.

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“…The incidence of more clinically relevant major hematoma after deep plane face‐lift is 1 in every 45 patients 79 . Major hematomas require immediate attention to prevent the skin necrosis and infection that can develop as a consequence 80 . Hematomas generally form within the first 48 hours postsurgery, with major hematomas developing more rapidly, often within the first 12 hours following rhytidectomy surgery, and are more common in males owing to the increased blood flow in their thicker and more sebaceous skin 80,81 …”

Section: Rhytidectomymentioning

confidence: 99%

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

Yoho

Romaine²,

O'Neil³

2006

Dermatologic Surgery

View full text Add to dashboard Cite

show abstract

Hematoma Formation in Deep Plane Rhytidectomy

Cited by 39 publications

References 13 publications

A simple, novel technique for fixing Penrose drains in minor surgeries, with advantages for remote outpatient clinics: a retrospective comparison with conventional drain fixation in North Ibaraki, Japan

A simple, novel technique for fixing Penrose drains in minor surgeries, with advantages for remote outpatient clinics: a retrospective comparison with conventional drain fixation in North Ibaraki, Japan

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

Review of the Liposuction, Abdominoplasty, and Face-Lift Mortality and Morbidity Risk Literature

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