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December 1964

Postoperative Complications

Arch Otolaryngol. 1964;80(6):742-745. doi:10.1001/archotol.1964.00750040758017

Introduction  Postoperatively three major complications have occurred. These have been hemorrhage, meningitis, and cerebrospinal fluid leak. In this section, we will discuss these three major complications along with their treatment.

Postoperative Hemorrhage  Prevention.—Postoperative hemorrhage is best prevented by a careful check to ascertain that all bleeding points have been stopped in the cerebellopontine angle before proceeding with the closure. As soon as the tumor has been removed, the operative bed is copiously irrigated with Ringer's solution *1 and checked under microscope until there is no evidence of any fresh bleeding. Suction in the tumor bed is carried out against a cottonoid in order to avoid removing clots from the vessel ends and to prevent tearing of blood vessels by picking them up with the suction tip.Small oozing points will usually stop in a matter of a few minutes as the irrigation is continued. Larger bleeding points such as

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