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At the recent meeting of the Eastern Section of The Triological Society in Toronto, Canada, Drs Robert C. Wang, Steven M. Parnes, and Peter J. Koltai, Albany, NY, presented their study of blood conservation in head and neck surgery. Forty-six male patients took part in the study. All of the patients underwent major head and neck surgical procedures. Twenty-six patients, who comprised group 1, were operated on in the first 18 months of the study. The following operative techniques were used in this group: (1) cold scalpel or scissors for sharp dissection; (2) ligatures or electrocautery to control bleeding; and (3) blunt dissection, which was common. The remaining 20 patients, who comprised group 2, were operated on in the latter 12 months of the study period. Strict guidelines for soft-tissue hemostasis were used in this group as follows: (1) unipolar electrocautery for dissection, except for cutting nerves; (2) optimal exposure
HAR-EL G. Blood Conservation in Head and Neck Surgery. Arch Otolaryngol Head Neck Surg. 1989;115(8):905–906. doi:10.1001/archotol.1989.01860320015006
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