الملخص
Objectives: Minor oral surgery (MOS) procedures in warfarinised patients carry the risk of post-operative bleeding. The aim of this study was to conduct a retrospective analysis and to describe the profile of warfarinised patients who underwent MOS procedures at Sultan Qaboos University Hospital. Methods: A retrospective study of 124 warfarinised patients (41 men and 83 women), who had a pre-operative international normalised ratio (INR) of ≤ 3.5 and underwent different MOS procedures under local anaesthesia, without discontinuation of their warfarin therapy, was carried out over a 5-year period from January 2004 to December 2008. Results: Ninety (72.6%) patients had simple dental extractions, 26 (21%) surgical extractions, 6 (4.8%) soft tissue biopsies and 2 (1.6%) had apicectomies with cyst enucleations. Local measures were applied in all patients, which included the use of oxidizing regenerated cellulose haemostatic agent (Surgicel) and suturing. A total of eight patients (6.5%), five who had surgical extractions and three who had simple extractions, bled enough post-operatively to require a return to hospital. All cases of post-operative bleeding were managed conservatively by repacking the bleeding site with haemostatic agent and re-suturing without the need for hospital admission. Conclusion: Minor oral surgery procedures can be safely conducted in warfarinised patients without interruption of warfarin regimen when the pre-operative INR is ≤ 3.5 and appropriate local haemostatic measures are used.
الموضوع
بيانات النشر
- المعرّف الرقمي
- 10.18295/2075-0528.2801
- المجلة
- مجلة جامعة السلطان قابوس الطبية, 9(3), 279-286
- الناشر
- جامعة السلطان قابوس
- وصول مفتوح
- وصول مفتوح ذهبي
- الترخيص
- CC BY-ND 4.0
اقتبس هذه المقالة
APA 7
Bakathir, A. A. (2025). Minor Oral Surgery Procedures in Patients Taking Warfarin: A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman. Sultan Qaboos University Medical Journal, 9(3), 279-286. https://doi.org/10.18295/2075-0528.2801
MLA 9
Bakathir, Abdulaziz A. "Minor Oral Surgery Procedures in Patients Taking Warfarin: A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman." Sultan Qaboos University Medical Journal, vol. 9, no. 3, 2025, pp. 279-286. https://doi.org/10.18295/2075-0528.2801.
شيكاغو (المؤلف–التاريخ)
Bakathir, Abdulaziz A. 2025. "Minor Oral Surgery Procedures in Patients Taking Warfarin: A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman." Sultan Qaboos University Medical Journal 9 (3): 279-286. https://doi.org/10.18295/2075-0528.2801.
هارفارد
Bakathir, A. A. (2025) 'Minor Oral Surgery Procedures in Patients Taking Warfarin: A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman', Sultan Qaboos University Medical Journal, 9(3), pp. 279-286. doi:10.18295/2075-0528.2801.
فانكوفر
Bakathir AA. Minor Oral Surgery Procedures in Patients Taking Warfarin: A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman. Sultan Qaboos University Medical Journal. 2025;9(3):279-286. doi:10.18295/2075-0528.2801
IEEE
A. A. Bakathir, "Minor Oral Surgery Procedures in Patients Taking Warfarin: A 5-year retrospective study at Sultan Qaboos University Hospital, Sultanate of Oman," Sultan Qaboos University Medical Journal, vol. 9, no. 3, pp. 279-286, 2025, doi: 10.18295/2075-0528.2801.