Minor oral surgery procedures in patients taking warfarin: a 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman
SQUMJ-Sultan Qaboos University Medical Journal. 2009; 9 (3): 279-286
em Inglês
| IMEMR
| ID: emr-93711
ABSTRACT
Minor oral surgery [MOS] procedures in warfarinised patients carry the risk of post-operative bleeding. The aim of this study was to conduct a retrospective analysis and to describe the profile of warfarinised patients who underwent MOS procedures at Sultan Qaboos University Hospital. A retrospective study of 124 warfarinised patients [41 men and 83 women], who had a pre-operative international normalised ratio [INR] of = 3.5 and underwent different MOS procedures under local anaesthesia, without discontinuation of their warfarin therapy, was carried out over a 5-year period from January 2004 to December 2008. Results:
Ninety [72.6%] patients had simple dental extractions, 26 [21%] surgical extractions, 6 [4.8%] soft tissue biopsies and 2 [1.6%] had apicectomies with cyst enucleations. Local measures were applied in all patients, which included the use of oxidizing regenerated cellulose haemostatic agent [Surgicel] and suturing. A total of eight patients [6.5%], five who had surgical extractions and three who had simple extractions, bled enough post-operatively to require a return to hospital. All cases of post-operative bleeding were managed conservatively by repacking the bleeding site with haemostatic agent and re-suturing without the need for hospital admission. Minor oral surgery procedures can be safely conducted in warfarinised patients without interruption of warfarin regimen when the pre-operative INR is = 3.5 and appropriate local haemostatic measures are used
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Extração Dentária
/
Varfarina
/
Hemostáticos
/
Estudos Retrospectivos
/
Hemorragia Pós-Operatória
/
Coeficiente Internacional Normatizado
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Sultan Qaboos Univ. Med. J.
Ano de publicação:
2009
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