Saline-Coupled Bipolar Sealing in Simultaneous Bilateral Total Knee Arthroplasty
Clinics in Orthopedic Surgery
; : 298-304, 2014.
Article
em En
| WPRIM
| ID: wpr-104726
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: The efficacy of saline-coupled bipolar sealing devices in joint arthroplasty is uncertain, and the utility in simultaneous bilateral total knee arthroplasty (TKA) has not been reported. METHODS: This study compares the use of bipolar sealing and conventional electrocautery in 71 consecutive patients. The experimental and control groups were matched for age, sex, body mass index, American Society of Anesthesiologists (ASA) classification, and preoperative hemoglobin. Variables of interest included blood loss, transfusion requirements, and operative characteristics. RESULTS: In comparison to patients treated with conventional electrocautery, those treated with the bipolar sealer were 35% less likely to require transfusion. The median number of transfusions per case was also significantly lower in the experimental group. Hemoglobin change, total blood loss, and length of stay were not significantly different between the groups. The experimental group had longer operative times. CONCLUSIONS: Bipolar sealing shows promise as a blood loss reduction tool in simultaneous bilateral TKA. The marginal savings attributed to reduced transfusion rates with use of the bipolar sealer did not exceed the additional per-case expense of using the device. The decision to use the device with the goal of less blood loss must come with the additional expense associated with its use.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Perda Sanguínea Cirúrgica
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Ablação por Cateter
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Artroplastia do Joelho
/
Eletrocoagulação
Tipo de estudo:
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2014
Tipo de documento:
Article