| Literatürler Hematoloji Uzmanlık Derneği
Literatür Detay Bilgisi
Nondrainage Decreases Blood Transfusion Need and Infection Rate in Bilateral Total Knee Arthroplasty.

Yazarlar : Demirkale I, Tecimel O, Sesen H et al

Yayın : J Arthroplasty

Yayın Yılı : 2013

Pubmed Linki : http://www.ncbi.nlm.nih.gov/pubmed/24275263

Konu : Transfüzyon

Literatür İçeriği :  

Abstract

This retrospective study enrolled 526 patients undergoing bilateral total knee arthroplasties at our institution. In nondrainage group (Group 1) of 255 patients (510 knees), a disposable elastic sterile exsanguination tourniquet (HemaClear), wound closure in layers and Jones Bandage, without pre-tourniquet removal hemostasis or Hemovac drain were used. In drainage group (Group 2) of 227 patients (454 knees), pneumatic tourniquet, post-deflation hemostasis, a Hemovac drain and Jones bandage were used. The maximal drop in hemoglobin was significantly greater in Group 2 than Group 1 (P<0.001). Also infection rate was significantly lower in Group 1 (P=0.017). The use of sterile tourniquet removed after wound closure without Hemovac drain decreases blood transfusion need, infection rate, tourniquet related pain and postoperative complications.

 


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