Hostname: page-component-6766d58669-vgfm9 Total loading time: 0 Render date: 2026-05-17T17:35:49.362Z Has data issue: false hasContentIssue false
  • English
  • Français

Drain-free neck dissection: the use of Artiss fibrin sealant

Published online by Cambridge University Press:  26 May 2022

M Bahgat Open the ORCID record for M Bahgat [Opens in a new window] ,
K H Lim  and
S Lester
M Bahgat*
Affiliation:
Department of ENT, James Cook University Hospital, Middlesbrough, UK
K H Lim
Affiliation:
Department of ENT, James Cook University Hospital, Middlesbrough, UK
S Lester
Affiliation:
Department of ENT, James Cook University Hospital, Middlesbrough, UK
*
Author for correspondence: Mr Mohammed Bahgat, Department of ENT, James Cook University Hospital, Marton Road, Middlesbrough TS4 3BW, UK E-mail: mybahgat18@hotmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

To study the safety and efficacy of Artiss fibrin sealant in lateral neck dissection, focusing on drain retention time, length of hospital stay and post-operative complications.

Methods

A retrospective review was conducted of patients who underwent neck dissection in a UK hospital over a 12-month period.

Results

Twenty-three patients were identified; 13 patients had Artiss and a drain, 10 patients had Artiss only. All drains were removed by post-operative day 2. No post-operative fluid collections or complications were recorded. Patients who had Artiss only without a drain were discharged on post-operative day 1.

Conclusion

The use of Artiss reduced the drain retention time and hospital stay, with no post-operative complications. Neck dissection can be safely undertaken with no drain, and can potentially be carried out as a day-case procedure, with the application of Artiss. These findings benefit patients and the National Health Service by improving the patient journey and reducing overall costs.

Keywords

Neck LumpHead And Neck SurgeryCancerFibrin Tissue Adhesive

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 556 - 559
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Mr M Bahgat takes responsibility for the integrity of the content of the paper

References

Nouraei, SA, Middleton, SE, Hudovsky, A, Darzi, A, Stewart, S, Kaddour, H et al. A national analysis of the outcome of major head and neck cancer surgery: implications for surgeon-level data publication. Clin Otolaryngol 2013;38:502–11CrossRefGoogle ScholarPubMed
Pellini, R, Mercante, G, Marchese, C, Terenzi, V, Sperduti, I, Manciocco, V et al. Predictive factors for postoperative wound complications after neck dissection. Acta Otorhinolaryngol Ital 2013;33:16–22Google ScholarPubMed
Masud, MK, Ahmad, SM, Karim, MA, Ferdouse, F, Fakir, AY, Hanif, MA et al. Complications of neck dissection at a tertiary level hospital: study of 30 cases. Mymensingh Med J 2014;23:658–66Google Scholar
Mehanna, H, Wong, WL, McConkey, CC, Rahman, JK, Robinson, M, Hartley, AGH et al. PET-CT surveillance versus neck dissection in advanced head and neck cancer. N Engl J Med 2016;374:1444–54CrossRefGoogle ScholarPubMed
VanderWalde, NA, Fleming, M, Weiss, J, Chera, BS. Treatment of older patients with head and neck cancer: a review. Oncologist 2013;18:568–78CrossRefGoogle ScholarPubMed
Reid, RR, Dumanian, GA. A minimalist approach to the care of the indwelling closed suction drain: a prospective analysis of local wound complications. Ann Plast Surg 2003;51:575–8CrossRefGoogle Scholar
Woods, RS, Woods, JF, Duignan, ES, Timon, C. Systematic review and meta-analysis of wound drains after thyroid surgery. Br J Surg 2014;101:446–56CrossRefGoogle ScholarPubMed
Gdanietz, K, Gutsche, I. The use of fibrin sealant in pediatric surgery. Acta Chir Austriaca 1991;23:95–9CrossRefGoogle Scholar
Rees, M, Plant, G, Wells, J, Bygrave, S. One hundred and fifty hepatic resections: evolution of technique towards bloodless surgery. Br J Surg 1996;83:1526–9CrossRefGoogle ScholarPubMed
Evans, LA, Morey, AF. Current applications of fibrin sealant in urologic surgery. Int Braz J Urol 2006;32:131–41CrossRefGoogle ScholarPubMed
Barnard, J, Millner, R. A review of topical hemostatic agents for use in cardiac surgery. Ann Thorac Surg 2009;88:1377–83CrossRefGoogle ScholarPubMed
Kassam, A, Horowitz, M, Carrau, R, Snyderman, C, Welch, W, Hirsch, B et al. Use of Tisseel fibrin sealant in neurosurgical procedures: incidence of cerebrospinal fluid leaks and cost-benefit analysis in a retrospective study. Neurosurgery 2003;52:1102–5Google ScholarPubMed
Duffin, J, McCaffer, C, Pabla, L, Lester, S. Drainless day case superficial parotidectomy with ARTISS [solutions for sealant]. Int J Otolaryngol Head Neck Surg 2020;9:194–202CrossRefGoogle Scholar
Bajwa, MS, Tudur-Smith, C, Shaw, RJ, Schache, AG. Fibrin sealants in soft tissue surgery of the head and neck: a systematic review and meta-analysis of randomised controlled trials. Clin Otolaryngol 2017;42:1141–52CrossRefGoogle ScholarPubMed
Artiss. Solutions for Sealant. Summary of Product Characteristics. Vienna: Baxter International, 2011Google Scholar
Findik, UY, Topcu, SY, Vatansever, O. Effects of drains on pain, comfort and anxiety in patients undergone surgery. Int J Caring Sci 2013;6:412–19Google Scholar
Yamamoto, KT, DeJoseph, LM. Efficacy and safety of Artiss fibrin tissue sealant use in rhytidectomy: a review of 120 cases. Surg J (N Y) 2017;3:e69–74Google ScholarPubMed
Maharaj, M, Diamond, C, Williams, D, Seikaly, H, Harris, J. Tisseel to reduce postparotidectomy wound drainage: randomized, prospective, controlled trial. J Otolaryngol 2006;35:36–9CrossRefGoogle ScholarPubMed
Cunniffe, H, Wong, B, Hilger, A, Burgan, OT. Drain-free parotidectomy: a pilot study using ARTISS fibrin sealant. Eur Arch Otorhinolaryngol 2019;276:2025–9CrossRefGoogle ScholarPubMed
Chua, DY, Goh, CH. Drainless parotidectomies versus conventional parotidectomies: randomised control study on efficacy and safety. Ann Acad Med Singap 2016;45:513–15CrossRefGoogle Scholar
Conboy, P, Brown, DH. Use of tissue sealant for day surgery parotidectomy. J Otolaryngol Head Neck Surg 2008;37:208–11Google ScholarPubMed
Al-Qahtani, K. Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy. Saudi Dent J 2011;23:67–71CrossRefGoogle ScholarPubMed
Chudek, DA, Wilkie, MD, Hampton, T, Siau, R, Panarese, A. The effect of fibrin sealant tissue glue in reducing post-operative collections following parotidectomy. Eur Arch Otorhinolaryngol 2020;277:2055–9CrossRefGoogle ScholarPubMed
Chorney, SR, Ryan, JT. Fibrin sealant and parotidectomy wound complications in 100 patients. Eur Arch Otorhinolaryngol 2019;276:2621–4CrossRefGoogle ScholarPubMed
Mushi, E, Kinshuck, A, Svecova, N, Schache, A, Jones, TM, Tandon, S et al. The use of Tisseel™ fibrin sealant in selective neck dissection--a retrospective study in a tertiary head and neck surgery centre. Clin Otolaryngol 2015;40:93–7CrossRefGoogle Scholar
Department of Health. Reference Costs 2015-16. In: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/577083/Reference_Costs_2015-16.pdf [10 October 2022]Google Scholar