ArticleWorld journal of clinical cases2025
Postoperative massive hemorrhage in oral cancer surgery nursing interventions and outcomes: A case report.
Article in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPost-operative massive hemorrhage is a critical concern in oral cancer surgery, associated with severe complications and heightened morbidity and mortality rates. CASE SUMMARY: A 46-year-old male with advanced poorly differentiated squamous cell carcinoma (ypT4aN3bN0M0) of the oral floor underwent extensive surgery, including total glossectomy, partial mandibulectomy, and free flap reconstruction. Postoperatively, he developed life-threatening hemorrhage on day 3 due to wound dehiscence. Rapid nursing interventions-prompt suture removal, pressure hemostasis, and multidisciplinary collaboration-controlled bleeding. Postoperative care emphasized hemodynamic monitoring, infection prevention, and rehabilitation. Despite comorbidities (hypertension, diabetes, prior stroke), the patient achieved functional recovery: Oral flap epithelialization, restored swallowing (water swallow test: Grade 1), 70% tongue mobility, and 80% preoperative chewing efficiency at 6-month follow-up. This case underscores the critical role of structured nursing protocols in managing postoperative hemorrhage and optimizing outcomes in high-risk oral cancer surgery.
conclusionThis case report highlights the pivotal role of structured nursing interventions in managing life-threatening postoperative hemorrhage following complex oral cancer surgery. By integrating meticulous preoperative risk stratification, intraoperative hemostatic collaboration, and vigilant postoperative monitoring (
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