title: Bleeding complications after oral surgery in outpatients with compromised haemostasis: incidence and management.
abstract: PURPOSE AND RESULTS: The aim of this prospective study was to determine the incidence of postoperative bleeding after oral surgery under local anaesthesia performed in outpatients with haemostatic disorders within a 5-year period (2003-2007). One hundred twenty one (70 males, 51 females) out of 2,056 outpatients with different haemostatic disorders (acquired or hereditary) were included in this study. The following data were recorded: medical history and general condition; medications; indication for the surgical procedure; specification of local anaesthesia; applied surgical techniques, considering the kind of haemostatic disorder; and peri- or postoperative bleeding complications. Postoperative bleeding was observed in 12 patients (9.9%). In three cases, inpatient treatment became necessary. The management of two patients with a haemostatic disorder (von Willebrand s disease and haemophilia A) is presented in short case reports.
  
  
  CONCLUSIONS
  In a heterogeneous group of 121 outpatients with known haemostatic disorders, a combination of a few haemostatic agents with appropriate operative technique enables an effective wound management. In cases of failed local interventions after postoperative bleeding, further diagnostic investigations are required.
authors.affiliation: Oral and Maxillofacial Plastic Surgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany. waldemar.reich@medizin.uni-halle.de
authors.forename: Waldemar
authors.initials: W
authors.lastname: Reich
authors.forename: Marcus S
authors.initials: MS
authors.lastname: Kriwalsky
authors.forename: Hans H
authors.initials: HH
authors.lastname: Wolf
authors.forename: Johannes
authors.initials: J
authors.lastname: Schubert