Post-Surgical Hemorrhage: Formation of a “Liver Clot” Secondary to Periodontal Plastic Surgery

2001 ◽  
Vol 2 (2) ◽  
pp. 42-47
Author(s):  
Edward B. Fowler ◽  
Lawrence G. Breault ◽  
Richard F. Druckman
Keyword(s):  
Plastic Surgery ◽  
Laboratory Tests ◽  
Oral Surgery ◽  
Bleeding Disorders ◽  
Active Hemorrhage ◽  
Clotting Cascade ◽  
Patient Will ◽  
Special Circumstances ◽  
Periodontal Plastic Surgery ◽  
Common Laboratory

Abstract Bleeding is a common sequela of periodontal and oral surgery. Generally, bleeding is self-limiting. Special circumstances require additional procedures to reduce or eliminate active hemorrhage. Occasionally hemorrhage can be under control when a patient is dismissed from their surgical appointment and, subsequently, the patient will experience either slow seepage of blood or extravascular clot formation. This case report describes the unique formation of a “liver clot” or “currant jelly clot” following periodontal plastic surgery. The clotting cascade and common laboratory tests to evaluate bleeding disorders are also presented.

scholarly journals An Unusual Complication in Plastic Periodontal Surgery

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Jorge Vagarinho ◽  
Sara Sardinha ◽  
Ricardo Alves
Keyword(s):  
Plastic Surgery ◽  
Oral Surgery ◽  
Unusual Complication ◽  
Root Coverage ◽  
Case Presentation ◽  
Second Molar ◽  
Plastic Periodontal Surgery ◽  
Oroantral Communication ◽  
Periodontal Plastic Surgery

Introduction. Oroantral communications may arise as a result of pathological processes or iatrogenic situations, particularly in oral surgery and implantology, but are uncommon in periodontal plastic surgery. Case Presentation. A healthy 37-year-old female patient with 5 mm Miller Class II recession on the maxillary left second molar was referred for a root coverage procedure. While preparing the recipient bed for the graft, an oroantral communication was created. Schneiderian membrane was sutured to reduce the dimension of the communication and covered with a connective tissue graft. Finally, the flap was laterally and coronally moved, and the patient instructed about postoperative precautions. This procedure allowed to achieve a complete closure of the oroantral communication and good root coverage after an 8-month follow-up. Conclusions. Different authors described different techniques that can be used to close oroantral communications. Nevertheless, in this clinical case, it was shown that the oroantral communication may be closed without having to postpone the periodontal plastic surgery.

Rapid Screening Methods for Bleeding Disorders. A Three Year Survey

1964 ◽  
Vol 11 (02) ◽  
pp. 506-512 ◽  
Author(s):  
V. A Lovric ◽  
J Margolis
Keyword(s):  
Laboratory Tests ◽  
Capillary Blood ◽  
Screening Tests ◽  
Rapid Screening ◽  
Screening Methods ◽  
Bleeding Disorders ◽  
Routine Laboratory ◽  
Clotting Time ◽  
Kaolin Clotting Time ◽  
In Infants And Children

SummaryAn adaptation of “kaolin clotting time” and prothrombin time for use on haemolysed capillary blood provided simple and sensitive screening tests suitable for use in infants and children. A survey of three year’s experience shows that these are reliable routine laboratory tests for detection of latent coagulation disorders.

Comparison of Thrombelastography with Common Coagulation Tests

1981 ◽  
Vol 46 (04) ◽  
pp. 752-756 ◽  
Author(s):  
L Zuckerman ◽  
E Cohen ◽  
J P Vagher ◽  
E Woodward ◽  
J A Caprini
Keyword(s):  
Laboratory Tests ◽  
Clinical Utility ◽  
Blood Clotting ◽  
Strong Relationship ◽  
Relative Strength ◽  
Additional Information ◽  
Patients With Cancer ◽  
Two Samples ◽  
Coagulation Tests ◽  
Common Laboratory

SummaryThrombelastography, although proven as a useful research tool has not been evaluated for its clinical utility against common coagulation laboratory tests. In this study we compare the thrombelastographic measurements with six common tests (the hematocrit, platelet count, fibrinogen, prothrombin time, activated thromboplastin time and fibrin split products). For such comparisons, two samples of subjects were selected, 141 normal volunteers and 121 patients with cancer. The data was subjected to various statistical techniques such as correlation, ANOVA, canonical and discriminant analysis to measure the extent of the correlations between the two sets of variables and their relative strength to detect blood clotting abnormalities. The results indicate that, although there is a strong relationship between the thrombelastographic variables and these common laboratory tests, the thrombelastographic variables contain additional information on the hemostatic process.

Evaluation and cost estimation of laboratory tests overuse through a CCDSS in a university hospital

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Vallone ◽  
A Tamburrano ◽  
C Carrozza ◽  
A Urbani ◽  
A Cambieri ◽  
...  
Keyword(s):  
Cost Estimation ◽  
Laboratory Tests ◽  
Quality Care ◽  
Clinical Decision Support Systems ◽  
Patient Characteristics ◽  
Clinical Decision ◽  
University Hospital ◽  
Specific Patient ◽  
Global Rate ◽  
Common Laboratory

Abstract Computerized Clinical Decision Support Systems (CCDSS) are information technology-based systems that use specific patient characteristics and combine them with rule-based algorithms. The aim of this study is to conduct a survey to measure and assess the over-utilization rates of laboratory requests and to estimate the monthly cost of inappropriate requests in inpatients of the “Fondazione Policlinico Universitario A. Gemelli IRCCS” Care Units. This observational study is based on the count of rules violations for 43 different types of laboratory tests requested by the Hospital physicians, for a total of 5,716,370 requests, over a continuous period of 20 months (from 1 July 2016 to 28 February 2018). Requests from all the hospital internal departments (except for Emergency, Intensive Care Units and Urgent requests) were monitored. The software intercepted and counted, in silent mode for the operator, all requests and violations for each laboratory test among those identified. During the observation period a mean of 285,819 requests per month were analyzed and 40,462 violations were counted. The global rate of overuse was 15.2% ± 3.0%. The overall difference among sub-groups was significant (p < 0.001). The most inappropriate exams were Alpha Fetoprotein (85.8% ± 30.5%), Chlamydia trachomatis PCR (48.7% ± 8.8%) and Alkaline Phosphatase (20.3% ± 6.5%). All the exams, globally considered, generated an estimated avoidable cost of 1,719,337€ (85,967€ per month) for the hospital. This study reports rates (15.2%) similar to other works. The real impact of inappropriateness is difficult to assess, but the generated costs for patients, hospitals and health systems are certainly high and not negligible. Key messages It would be desirable for international medical communities to produce a complete panel of prescriptive rules for all the most common laboratory exam. That is useful not only to reduce costs, but also to ensure standardization and high-quality care.

Oral surgery in patients with hereditary bleeding disorders

1989 ◽  
Vol 18 (6) ◽  
pp. 320-322 ◽  
Author(s):  
G. Ramström ◽  
M. Blombäck ◽  
N. Egberg ◽  
H. Johnsson ◽  
B. Ljungberg ◽  
...  
Keyword(s):  
Oral Surgery ◽  
Bleeding Disorders

scholarly journals TEKNIK BEDAH DENGAN SKALPEL PADA HIPERPIGMENTASI GINGIVA

2015 ◽  
Vol 1 (2) ◽  
pp. 40
Author(s):  
Ade Ismail Abdul Kodir
Keyword(s):  
Plastic Surgery ◽  
Genetic Factors ◽  
Medical Problems ◽  
Periodontal Plastic Surgery

Background: Gingival pigmentation is the coloring/staining of the gingiva in the form of a dark purplish color or irregular light brown spots. This staining is derived from melanin granules produced by cells melanoblas. Gingival hyperpigmentation caused by excessive melanin deposition . The cause of this gingival hyperpigmentation is multifactorial : genetic factors , local and systemic . The aims of this article is to overbear the gingival hyperpigmentation with simple techniques , does not require several equipments , but gives contentment results to the patient . Discussion : The gingival melanin hyperpigmentation is not cause medical problems , usually to the point the appearance especially when talking and smiling . Depigmentation is periodontal plastic surgery to remove or reduce gingival hyperpigmentation . There are many ways to eliminate gingival hyperpigmentation , one of them is a surgical using scalpel . Depigmentation surgery does not require any special tools but gives satisfactory results for the patient. Conclusion : Hyperpigmentation gingival surgery techniques can be overcome by using scalpel surgery.

scholarly journals Derivation of standard distribution ranges for common laboratory tests specific for hemodialysis patients by the latent abnormal value exclusion method

2007 ◽  
Vol 40 (3) ◽  
pp. 261-269
Author(s):  
Sumiko Igarashi ◽  
Kiyoshi Ichihara ◽  
Masatoshi Takiya ◽  
Mitsuru Kurata ◽  
Takayasu Taira ◽  
...  
Keyword(s):  
Laboratory Tests ◽  
Hemodialysis Patients ◽  
Distribution Ranges ◽  
Standard Distribution ◽  
Exclusion Method ◽  
Common Laboratory
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