%0 Observational Study
%T Drainless, day-case lateral neck dissection with Artiss™ fibrin sealant: A prospective cohort study.
%A Tabaksert A
%A James T
%A Rusius C
%A Walters H
%A Lester S
%J Head Neck
%V 46
%N 5
%D 2024 05 11
%M 38465445
%F 3.821
%R 10.1002/hed.27715
%X Lateral neck dissection (LND) is performed for staging/treatment of head and neck lesions. This traditionally includes placement of a drain and inpatient admission. Drainless, day-case head and neck surgery is attractive due to cost-effectiveness and reduced length of stay, but evidence is lacking in LND. We aim to investigate Artiss™ as an alternative to drain placement, facilitating day-case LND.<BR>A prospective review was conducted of patients who underwent LND in a UK hospital over a 22-month period.<BR>Thirty-nine patients were identified (27 Artiss™ only; 12 Artiss™ with a drain). Eight Artiss™ only patients were day-case. All drains were removed by post-operative day 2. There was no statistically significant difference in the number of complications between the two groups.<BR>This observational study demonstrates that for selected patients, Artiss™ could facilitate drainless, day-case LND. Further controlled studies with matched groups and larger numbers are required to validate this.