Strategies to reduce blood loss during posterior spinal fusion for neuromuscular scoliosis: a review of current techniques and experience with a unique bipolar electrocautery device.
Surg Technol Int
; 17: 243-8, 2008.
Article
en En
| MEDLINE
| ID: mdl-18802909
ABSTRACT
In this chapter, we review current techniques employed to decrease blood loss and describe the effective use of a unique bipolar electrocautery device in a patient with neuromuscular scoliosis undergoing posterior spinal fusion (PSF). The reduction of blood loss and subsequent elimination of allogeneic blood transfusion is a desired outcome in all surgeries and is a major concern during PSF. In the child or adolescent with neuromuscular scoliosis, this becomes a greater concern due to a variety of factors such as the inability of the musculature to compress blood vessels, extensive surgical exposure, and the duration of the operation. A multitude of pharmacological, anesthetic, and surgical techniques-including preoperative autologous blood donation and human recombinant erythropoietin, intraoperative blood salvage techniques, and topical and systemic hemostatic agents-are employed to reduce the need for transfusion. Many of these techniques carry their own risks and, thus far, a systematic approach has not been established to decrease the need for transfusion. In the continued pursuit of reducing intraoperative blood loss, other surgical techniques must be developed.
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Banco de datos:
MEDLINE
Asunto principal:
Escoliosis
/
Fusión Vertebral
/
Hemorragia Posoperatoria
/
Electrocoagulación
Límite:
Female
/
Humans
Idioma:
En
Revista:
Surg Technol Int
Año:
2008
Tipo del documento:
Article
País de afiliación:
Estados Unidos