ArticleCureus2025
Evaluating the Utility of Topical Haemostatic Adjuncts in Transoral Robotic Surgery (TORS).
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- From Biomaterial Innovation to Surgical Practice: A Systematic Review of RADA16 Self-Assembling Peptide Hydrogel in Otolaryngology and Head & Neck Surgery.Journal of clinical medicine · 2026Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTransoral robotic surgery (TORS) is a minimally invasive modern surgical technique, offering novel access to the oral cavity with important implications for the management of oropharyngeal squamous cell carcinoma. However, TORS carries complications including haemorrhage, pain and impaired swallowing, with potentially significant implications for patients and healthcare systems.
aimThis combined retrospective cohort study and literature review aims to explore our experience with the use of topical haemostatic products in TORS to improve post-operative outcomes.
methodsWe analysed our experience with the use of three different topical haemostatic adjuncts during TORS procedures at a major head and neck cancer centre from October 2023 to August 2024. The primary outcome measure was the rate of post-operative haemorrhage. This cohort study was complemented by a systematic review of the existing literature regarding the use of topical haemostatic products in TORS.
resultsEighteen patients met criteria for inclusion. The type of topical haemostatic adjunct used varied between Tisseel (n=8, 44.4%), Floseal (n=4, 22.2%) and Purabond (n=6, 33.3%). One patient (5.6%) developed a secondary post-operative haemorrhage. Another patient (n=1, 5.6%) required admission for management of post-operative pain. Our experience provides preliminary insight into the utility of topical haemostatic adjuncts in TORS and underlines the need for further research in this area.
conclusionTopical haemostatic adjuncts, in our view, are useful, surgeon-friendly products that may augment haemostasis in TORS. Further studies are required to determine the efficacy of individual topical haemostatic products in preventing post-operative haemorrhage and enhancing recovery following TORS.
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