Bleeding Control by Continuous Wound Drainage of Active Bleeding Sites of Teeth Extraction Wound in a Patient with Advanced Liver Cirrhosis: Report of a Case.
- Author:
Dong Yub MO
1
;
Jae Ha YOO
;
Byung Ho CHOI
;
Ha Rang KIM
;
Chun Ui LEE
;
Mi Heon RYU
Author Information
1. Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University(Wonju Christian Hospital), Korea. metalblack@hanmail.net
- Publication Type:Case Report
- Keywords:
Active oral bleeding;
Dental extraction wound;
Liver cirrhosis;
Continuous wound drainage;
Bleeding control
- MeSH:
Avitaminosis;
Bandages;
Blood Platelets;
Capillaries;
Dehydration;
Drainage;
Dry Socket;
Female;
Fibrinogen;
Gelatin;
Gelatin Sponge, Absorbable;
Hemophilia B;
Hemorrhage;
Hemostasis;
Humans;
Hydrocarbons, Iodinated;
Liver;
Liver Cirrhosis;
Porifera;
Purpura, Thrombocytopenic;
Rubber;
Scurvy;
Thrombin;
Tooth;
Veins
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2009;35(6):431-436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There are five principal causes for excessive bleeding in the immediate postextraction phase ; (1) Vascular wall alteration (wound infection, scurvy, chemicals, allergy) (2) Disorders of platelet function (genetic defect, drug-aspirin, autoimmune disease) (3) Thrombocytopenic purpuras (radiation, leukemia), (4) Inherited disorders of coagulation (hemophilia, Christmas disease, vitamin deficiency, anticoagulation drug-heparin, coumarin). If the hemorrhage from postextraction wound is unusually aggressive, and then dehydration and airway problem are occurred, the socket must be packed with gelatine sponge(Gelfoam) that was moistened with thrombin and wound closure & pressure dressing are applied. The thrombin clots fibrinogen to produce rapid hemostasis. Gelatine sponges moistened with thrombin provide effective coagulation of hemorrhage from small veins and capillaries. But, in dental alveoli, gelatine sponges may absorb oral microorganisms and cause alveolar osteitis (infection). This is a case report of bleeding control by continuous rubber strip & iodoform gauze drainage (without gelfoam packing) of active bleeding infection sites of three teeth extraction wounds in a 46-years-old female patient with advanced liver cirrhosis.
