Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases
Introduction: Hematoma, the most frequent complication of face-lift procedures, may require a second surgical approach, which delays patient recovery. In the literature, its incidence ranges from 0.2% to 8%, and further studies are essential to standardize preventive measures. The objective is to pr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2019-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2337/en_v34n1a02.pdf |
| _version_ | 1797420589754875904 |
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| author | Ticiano Cesar Teixeira Cló Walter Ferraz Flávio Carlos Eduardo Guimarães Leão Felipe Xavier Cló Leonardo Mourão Lacerda Luiza Ramos Leão |
| author_facet | Ticiano Cesar Teixeira Cló Walter Ferraz Flávio Carlos Eduardo Guimarães Leão Felipe Xavier Cló Leonardo Mourão Lacerda Luiza Ramos Leão |
| author_sort | Ticiano Cesar Teixeira Cló |
| collection | DOAJ |
| description | Introduction: Hematoma, the most frequent complication of face-lift procedures, may require a second surgical approach, which delays patient recovery. In the literature, its incidence ranges from 0.2% to 8%, and further studies are essential to standardize preventive measures. The objective is to present a proposal of perioperative systematization for effectively prevention of hematoma formation after rhytidectomies.
Methods: We analyzed the medical records of 594 patients who underwent operation by the author between 2011 and 2018 to compare the incidence of hematomas before and after the systematization implemented in 2015.
Results: From July 2011 to December 2014, before the adoption of the systematization, the incidence of hematomas was 3.43% in 233 cases. After its adoption, the incidence decreased to 1.66% in 361 cases. The last 177 consecutive cases did not have this complication.
Conclusion: We observed a significant reduction in the incidence of hematomas following rhytidectomy after the use of the proposed standardization. None of the measures would be effective alone; thus, their combined adoption is essential in preventing this serious complication. |
| first_indexed | 2024-03-09T07:04:37Z |
| format | Article |
| id | doaj.art-e093a02bc6424bc7896322b51ac50b05 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:04:37Z |
| publishDate | 2019-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-e093a02bc6424bc7896322b51ac50b052023-12-03T09:45:49ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352019-03-013401020910.5935/2177-1235.2019RBCP0002Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical casesTiciano Cesar Teixeira Cló0Walter Ferraz Flávio1Carlos Eduardo Guimarães Leão2Felipe Xavier Cló3Leonardo Mourão Lacerda4Luiza Ramos Leão5Cló & Ribeiro Cirurgia Plástica, Belo Horizonte, MG, BrazilCló & Ribeiro Cirurgia Plástica, Belo Horizonte, MG, BrazilClínica Leão, Belo Horizonte, MG, BrazilUniversidade Católica de Minas Gerais, Faculdade de Medicina, Betim, MG, BrazilUniversidade Católica de Minas Gerais, Faculdade de Medicina, Betim, MG, BrazilFundação José Bonifácio Lafayette de Andrada, Faculdade de Medicina de Barbacena, Barbacena, MG, BrazilIntroduction: Hematoma, the most frequent complication of face-lift procedures, may require a second surgical approach, which delays patient recovery. In the literature, its incidence ranges from 0.2% to 8%, and further studies are essential to standardize preventive measures. The objective is to present a proposal of perioperative systematization for effectively prevention of hematoma formation after rhytidectomies. Methods: We analyzed the medical records of 594 patients who underwent operation by the author between 2011 and 2018 to compare the incidence of hematomas before and after the systematization implemented in 2015. Results: From July 2011 to December 2014, before the adoption of the systematization, the incidence of hematomas was 3.43% in 233 cases. After its adoption, the incidence decreased to 1.66% in 361 cases. The last 177 consecutive cases did not have this complication. Conclusion: We observed a significant reduction in the incidence of hematomas following rhytidectomy after the use of the proposed standardization. None of the measures would be effective alone; thus, their combined adoption is essential in preventing this serious complication.http://www.rbcp.org.br/export-pdf/2337/en_v34n1a02.pdfrhytidectomyhematomaprotocolspostoperative complications |
| spellingShingle | Ticiano Cesar Teixeira Cló Walter Ferraz Flávio Carlos Eduardo Guimarães Leão Felipe Xavier Cló Leonardo Mourão Lacerda Luiza Ramos Leão Perioperative systematization for the prevention of hematomas following face-lift procedures: a personal approach based on 1,138 surgical cases Revista Brasileira de Cirurgia Plástica rhytidectomy hematoma protocols postoperative complications |
| title | Perioperative systematization for the prevention of
hematomas following face-lift procedures: a personal
approach based on 1,138 surgical cases |
| title_full | Perioperative systematization for the prevention of
hematomas following face-lift procedures: a personal
approach based on 1,138 surgical cases |
| title_fullStr | Perioperative systematization for the prevention of
hematomas following face-lift procedures: a personal
approach based on 1,138 surgical cases |
| title_full_unstemmed | Perioperative systematization for the prevention of
hematomas following face-lift procedures: a personal
approach based on 1,138 surgical cases |
| title_short | Perioperative systematization for the prevention of
hematomas following face-lift procedures: a personal
approach based on 1,138 surgical cases |
| title_sort | perioperative systematization for the prevention of hematomas following face lift procedures a personal approach based on 1 138 surgical cases |
| topic | rhytidectomy hematoma protocols postoperative complications |
| url | http://www.rbcp.org.br/export-pdf/2337/en_v34n1a02.pdf |
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