The Aquamantys system--an alternative to reduce blood loss in primary total hip arthroplasty?
作者： Alexander Zeh , Jana Messer , John Davis , Attila Vasarhelyi , David Wohlrab
DOI: 10.1016/J.ARTH.2009.10.008
关键词: Significant difference 、 Total hip arthroplasty 、 Blood volume 、 Surgery 、 Blood loss 、 Randomized controlled trial 、 Postoperative Blood Loss 、 Medicine
摘要: To evaluate the effectiveness of Bipolar Sealer 6.0-VT (BPS 6.0-VT) (Tissue Link Medical, Inc, Dover, NH) in reducing blood loss compared with a conventional electrocautery (Erbe ICC 350) 350 (ERBE Elektromedizin GmbH, Tubingen, Germany). A prospective randomized trial 105 patients primary total hip arthroplasty 350: 50 patients; BPS 6.0-VT: 55 patients). On basis calculation preoperative volume and postoperative were calculated. No statistically significant difference could be shown for intraoperative (group 1846 mL; group B 1740 mL) (t test). Due to lack reduction high costs 6.0-VT, its use is not recommended arthroplasty.
elsevier.com
sci-hub.se 参考文章(26)
Samuel B. Nadler, Ted Bloch, John U. Hidalgo, Prediction of blood volume in normal human adults. Surgery. ,vol. 51, pp. 224- 232 ,(1962) , 10.5555/URI:PII:0039606062901666
F W Wittmann, Blood Loss Associated with Uncemented Total Hip Replacement: Hypotension Does Not Affect Blood Loss Journal of the Royal Society of Medicine. ,vol. 80, pp. 213- 215 ,(1987) , 10.1177/014107688708000407
Phillip S. Ragland, German A. Marulanda, Thorsten Markus Seyler, Michael A. Mont, Reductions in blood loss with use of a bipolar sealer for hemostasis in primary total knee arthroplasty. Surgical technology international. ,vol. 14, pp. 281- ,(2005)
Torsten Johansson, Markus Engquist, Lars-Göran Pettersson, Björn Lisander, Blood Loss After Total Hip Replacement The Journal of Arthroplasty. ,vol. 20, pp. 967- 971 ,(2005) , 10.1016/J.ARTH.2005.02.004
Erik Lemay, Joanne Guay, Christiane Côté, Alain Roy, Tranexamic acid reduces the need for allogenic red blood cell transfusions in patients undergoing total hip replacement. Canadian Journal of Anaesthesia-journal Canadien D Anesthesie. ,vol. 51, pp. 31- 37 ,(2004) , 10.1007/BF03018543
Marvin B. Hays, James F. Mayfield, Total blood loss in major joint arthroplasty. A comparison of cemented and noncemented hip and knee operations. Journal of Arthroplasty. ,vol. 3, ,(1988) , 10.1016/S0883-5403(88)80008-1
Lauren A. Beaupré, Brian J. Harley, John G. Cinats, C. Allyson Jones, Craig R. Guenther, The effect of epsilon aminocaproic acid on blood loss in patients who undergo primary total hip replacement: a pilot study. Canadian Journal of Surgery. ,vol. 45, pp. 185- 190 ,(2002)
G. Menichella, David M. Barton, Saskia Cremers, Ivo L. Abraham, For The OSTHEO Investigation, Nadia Rosencher, Hans E.M. Kerkkamp, G. Macheras, L.M. Munuera, Orthopedic Surgery Transfusion Hemoglobin European Overview (OSTHEO) study: blood management in elective knee and hip arthroplasty in Europe. Transfusion. ,vol. 43, pp. 459- 469 ,(2003) , 10.1046/J.1537-2995.2003.00348.X
Aaron G. Rosenberg, Reducing Blood Loss in Total Joint Surgery With a Saline-Coupled Bipolar Sealing Technology The Journal of Arthroplasty. ,vol. 22, pp. 82- 85 ,(2007) , 10.1016/J.ARTH.2007.02.018
Gustav Ekbäck, Kjell Axelsson, Lars Ryttberg, Bror Edlund, Jill Kjellberg, Johan Weckström, Olle Carlsson, Ulf Schött, Tranexamic acid reduces blood loss in total hip replacement surgery. Anesthesia & Analgesia. ,vol. 91, pp. 1124- 1130 ,(2000) , 10.1097/00000539-200011000-00014