ABSTRACT NUMBER - 75

POST-OPERATIVE HAEMORRHAGE IN ENDOSCOPIC DACRYOCYSTORHINOSTOMY


Nicholas Andrew, Dinesh Selva

Meeting:  2012 RANZCO


SESSION INFORMATION

Date:      -

Session Title: POSTER ABSTRACTS

Session Time:      -

Purpose:
To assess the perioperative use of agents with antiplatelet or anticoagulant activity, and the rate of post-operative haemorrhage, in patients undergoing powered endoscopic dacryocystorhinostomy (DCR).

Method:
A prospective, non-randomised, non-com-parative, single-surgeon, interventional case series.

Results:
174 consecutive cases were included. The mean age of patients at the time of surgery was 62.9 years with a range of 19–94 years, 65% were female. 28 cases (16%) were taking a medication with anti-platelet or anticoagulant activity and these agents were completely stopped pre-operatively in 14 cases. Three cases (1.7%) were complicated by post-opera-tive haemorrhage but only one case (0.6%) required physician intervention.

Conclusion:
The risk of significant haemorrhage fol-lowing endoscopic DCR is low. The decision to stop antihthrombic agents prior to surgery should be made in consultation with the patient’s internal physician.