The benefit of a temporary vessel occlusion in XXXX surgery.

@entity2656 @entity1 @entity135 @entity101 @entity63 @entity439 @entity397 @entity1410 @entity1188 @entity1756
OBJECTIVE: Temporary clipping in @entity439 surgery has been used more frequently in last years to increase the efficacy and safety of the neck dissection and obliteration. Experimental studies have shown that neuroprotection using @entity101 and @entity2656 administration diminishes the risk of @entity63 during this procedure. However, recent studies show that this method has to be used with caution. METHODS: In 85 @entity439 we used temporary vessel occlusion with neuroprotection described above in 17 @entity1 (20%), ranging from 2 to 35 minutes (mean 9 minutes). The indication was peroperative @entity397 (3 cases), @entity135 (13 cases) and a @entity439 (1 case). RESULTS: Forteen of these @entity1 had a good result, one was severely disabled, the other 2 died. One of them had a large temporal @entity1410 and was HH=V before the operation, the other one had a premature peroperative @entity1756 . Shorter occlusion times were used in @entity1 with a good outcome, in @entity1 with elective use of the clip and in @entity1 with no new @entity63 on the postoperative CT scan (t-test, p<0.05). The postoperative @entity1188 rate was similar in the group of @entity1 with (17%) and without temporary clipping (15%). CONCLUSION: We conclude that temporary clipping in @entity439 surgery is a relatively safe procedure which facilitates the @entity439 neck dissection and enables neck obliteration in difficult cases. Better results are achieved with short duration of occlusion. (Fig. 4, Ref. 13.).
