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07.08.2019 | Original Paper | Ausgabe 1/2020

European Journal of Plastic Surgery 1/2020

The importance of preoperative control of serologic markers before operations done under local anaesthesia

Zeitschrift:
European Journal of Plastic Surgery > Ausgabe 1/2020
Autoren:
Ersin Aksam, Tuba Muderris, Suleyman Koken
Wichtige Hinweise

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Abstract

Background

Plastic and reconstructive surgeons perform operations under local anaesthesia very frequently. However, there is no consensus regarding a protocol for preoperative control of serologic markers. The aim of this study is to clarify the importance of preoperative control of serologic markers for operations done under local anaesthesia by evaluating the incidents that have occurred during these operations.

Methods

All operations done under local anaesthesia in a plastic surgery clinic in 2018 were evaluated. The study looked at the patients’ ages, sexes, the operations they had, the times of the operations, the preoperative control of serologic markers, any incidents that occurred during the operations and the operating surgeons and nurses.

Results

The study evaluated 873 consecutive operations done under local anaesthesia. Only 43.6% of the patients had given blood samples before their operations for control of serologic markers. The operation that was performed most frequently was excision of a skin lesion and direct closure (41%). The mean operation time was 29.5 min, and 13 incidents occurred during these operations (1.5%). The risk of having an incident increases with the length of time of the operation (p < 0.05). No statistical significance was found between the surgeons’ experience and the incident rates. Preoperative control of serologic markers does not reduce the risk of having an incident.

Conclusions

This is the first report that evaluates the importance of preoperative control of serologic markers for operations done under local anaesthesia in a plastic surgery clinic. The duration of the operation was found to be the only significant factor that increased the risk of having an incident. We recommend controlling serologic markers, especially before operations that involve longer durations.
Level of evidence: Level III, risk/prognostic study

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ACKNOWLEDGEMENT TO REVIEWERS

Acknowledgment to reviewers—2019

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