Study to estimate the average blood loss in different orthopedic procedures: A retrospective review

Objective: Overall objective of the study was to see effects of active management of third stage of labour (AMSTL) with oxytocin. Specific objective of the study was to look for incidence of Post-Partum Haemorrhage (PPH), length of 3rd stage, incidence of retained placenta and average blood loss. Methodology: A hospital based prospective, descriptive, observational study was carried out from 1st July 2005 to 30th June 2006 at department of Obstetrics and Gynaecology, Kathmandu Medical College Teaching Hospital (KMCTH). All patients undergoing vaginal delivery excluding twins, polyhydraminios and instrumental deliveries were included in the study. The active management of 3rd stage included administration of 10 units IU of oxytocin, early cord clamping, controlled cord traction and uterine massage. Blood loss was estimated by visual inspection and measured by jar pressed against perineum. Result: Total number of deliveries during the study period was 530. There were 13 cases of PPH. Incidence of PPH was 2.4%. There were six cases each of uterine atony and genital tract trauma. One case was of retained placenta requiring Manual Removal (MRP). Average third stage duration was less than 5 minutes. Average blood loss was 90 ml. In 2 cases the third stage lasted more than 30 mins. Conclusion: Active management of 3rd stage of labour reduces the incidence of PPH from uterine atony, reduces the duration as well as average blood loss during third stage.condition. Key words: Labor analgesia; epidural, combined spinal epidural; complications, dural puncture, postdural puncture headache (PDPH); prevention. doi:10.3126/njog.v1i2.1490 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 25 - 27 Nov-Dec 2006

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Retroperitoneoscopic nephrectomy for a nonfunctioning kidney

Vojnosanitetski pregled ◽

10.2298/vsp170215112s ◽

2019 ◽

Vol 76 (6) ◽

pp. 577-581

Author(s):

Vuk Sekulic ◽

Jovo Bogdanovic ◽

Ranko Herin ◽

Senjin Djozic ◽

Mladen Popov

Keyword(s):

Blood Loss ◽

Minimally Invasive ◽

Hospital Stay ◽

Demographic Data ◽

Postoperative Mortality ◽

Ct Urography ◽

Average Hospital ◽

Average Blood Loss ◽

Duration Of Surgery ◽

Functioning Kidney

Background/Aim. The minimally invasive laparoscopic nephrectomy was first performed in 1991. The objective of this paper was to present the surgical technique of retroperitoneoscopic nephrectomy and to our experience with this procedure in removal of non-functioning kidneys. Methods. This retrospective study enrolled 55 patients who underwent retroperitoneoscopic nephrectomy at our institution during the period from January 2011 to November 2016. All patients had a unilateral non-functioning kidney confirmed by intravenous or computed tomography (CT)- urography and renal scintigram. Their medical records were analyzed for demographic data, duration of surgery, average blood loss, duration of hospital stay as well as time to return to normal life activities. Results. The mean age of patients was 43 years (range 23?78). Perioperative or early postoperative mortality was not recorded. Mean operative time was 82 minutes (range 45?210). The average blood loss was 90 mL (40?450). The average hospital stay was 4 days (3?7). Return to life activity was in average after 12 days (9?15). Conclusions. Retroperitoneoscopic nephrectomy for a non-functioning kidney is a feasible, safe, and effective minimally invasive method. The length of hospital stay and convalescence was shorter than after open nephrectomy.

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The use of harmonic scalpel in open thyroid surgery: Is it rewarding?

International Surgery ◽

10.9738/intsurg-d-16-00140.1 ◽

2016 ◽

Author(s):

Ghazi Qasaimeh ◽

Yousef Khader ◽

Hamzeh Balas ◽

Motaz Qasaimeh

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Thyroid Surgery ◽

Retrospective Review ◽

Harmonic Scalpel ◽

Average Duration ◽

Operation Time ◽

Open Thyroidectomy ◽

Operative Outcomes ◽

Duration Of Operation

Abstract Objectives: To evaluate the advantages and effectiveness of the harmonic scalpel (HS) in open thyroid surgery. Background: Haemostasis is the most important factor for successful thyroid surgery. Our aim was to compare the effect of the use of harmonic scalpel versus the conventional haemostasis (CH) methods during open thyroidectomy in the intra-operative and post-operative outcomes. Methods: A retrospective review of all total thyroidectomy operations performed in six years was done. The patients were divided in two groups: The CH group and the HS group according to the method used. Information regarding patient's age, sex, pathological diagnosis, operations details, operations duration, the blood loss, the use of drains and the complications were recorded. Results: Out of 239 operations performed, 143 operations were in the CH group and 96 operations were in the HS group. The average duration of operation was 73minutes in the HS group vs. 97minutes in the CH group, p->0.005. Blood loss was less in the HS group, p- 0.014 with fewer drains, p-< 0.005. Transient hypocalcaemia (TH) was less in the HS group (12.5% vs. 25.9%, p- 0.012). The hospital stay was less in the HS group (3.4 days vs. 3.9 days, p- 0.001). The use of HS was more costly. Conclusion: HS use in thyroid surgery reduces: operation time, blood loss, use of drains, post-operative TH and hospital stay. It is more costly but the advantages of its use in a busy hospital offset this drawback.

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The Effect of Ellagic Acid on the Thrombin-Induced Hemorrhagic Syndrome in the Rat

Blood ◽

10.1182/blood.v28.2.253.253 ◽

1966 ◽

Vol 28 (2) ◽

pp. 253-257 ◽

Cited By ~ 7

Author(s):

E. E. CLIFFTON ◽

A. GIROLAMI ◽

D. AGOSTINO

Keyword(s):

Blood Loss ◽

Intravenous Administration ◽

Ellagic Acid ◽

Intraperitoneal Administration ◽

Average Blood Loss

Abstract The intraperitoneal administration of thrombin increased the bleeding due to the amputation of the tail in the rat (average blood loss 4.6 ml.). The intravenous administration of ellagic acid in thrombin-injected rats reduced the average blood loss to 0.6 ml. This value was slightly more than the average blood loss noted in animals given only ellagic acid (0.2 ml.). Both these figures were much less than the average blood loss observed in control animals (3.2 ml.).

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Early Operative Treatment of Acetabular Fractures Does Not Increase Blood Loss: A Retrospective Review

Journal of Orthopaedic Trauma ◽

10.1097/bot.0000000000001682 ◽

2020 ◽

Vol 34 (5) ◽

pp. 244-247

Author(s):

Joshua A. Parry ◽

Samanatha Nino ◽

Nima Khosravani ◽

Lee Weber ◽

George J. Haidukewych ◽

...

Keyword(s):

Blood Loss ◽

Operative Treatment ◽

Retrospective Review ◽

Acetabular Fractures ◽

Increase Blood Loss

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Abstract No. 175: Pre-Allograft Nephrectomy Embolotherapy (PNE); A Retrospective Review of Blood Loss and Transfusion Requirements

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2008.12.163 ◽

2009 ◽

Vol 20 (2) ◽

pp. S68

Author(s):

J. Taussig ◽

J.A. Requarth ◽

M.A. Bettmann ◽

R. Stratta ◽

A. Farney ◽

...

Keyword(s):

Blood Loss ◽

Retrospective Review ◽

Transfusion Requirements ◽

Allograft Nephrectomy

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Is hypotensive anaesthesia guided by invasive intraarterial monitoring required for orthognathic surgery? – A retrospective review of anaesthetic practice and intraoperative blood loss in orthognathic surgery in a tertiary hospital

Indian Journal of Anaesthesia ◽

10.4103/ija.ija_201_21 ◽

2021 ◽

Vol 65 (7) ◽

pp. 525

Author(s):

YiLin Lee ◽

Suhitharan Thangavelautham ◽

Sudha Harikrishnan ◽

Ranjith Karthekeyan ◽

Harikrishnan Kothandan

Keyword(s):

Blood Loss ◽

Retrospective Review ◽

Orthognathic Surgery ◽

Tertiary Hospital ◽

Intraoperative Blood Loss ◽

Anaesthetic Practice ◽

Hypotensive Anaesthesia

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Volemic loss in rapid maxilla expansion surgically assisted

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v5i6.1700 ◽

2016 ◽

Vol 5 (6) ◽

Author(s):

Ellen Cristina Gaetti Jardim ◽

Leonardo Perez Faverani ◽

Roberta Okamoto ◽

Elerson Gaetti-Jardim Jr ◽

Elio Hitoshi Shinohara

Keyword(s):

Blood Transfusion ◽

Blood Loss ◽

Blood Level ◽

Deformity Correction ◽

Procedure Time ◽

Surgical Time ◽

Asa Classification ◽

Average Blood Loss ◽

Dentofacial Deformity ◽

Crystalloid Solutions

Surgeries for dentofacial deformity correction are procedures which are executed with considerable frequency nowadays and, due to their complexity concerning complications inherent to technique, such as arteriovenous lesions or even surgery time, may cause severe hypovolemia. Necessity of replacement of blood level through infusion of crystalloid solutions, colloids or even blood transfusion is always mandatory. This way, it is proposed in this study to quantify blood loss, as well as evaluate necessity of blood transfusion in 19 patients who underwent maxilla expansion. It was evaluated average arterial pressures, surgery procedure time, gender, volemic loss and ASA classification. Average blood loss was 296,84mL, with minimal value of 50mL and maximum 1000mL. We can conclude that hypovolemia and blood transfusion request in such surgeries was of small number, however, professionals should always be aware of surgical time and development of discerning surgical technique.Descriptors: Surgery; Hypovolemia; Blood Transfusion.

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Expanded eggshell procedure combined with closing-opening technique (a modified vertebral column resection) for the treatment of thoracic and thoracolumbar angular kyphosis

Journal of Neurosurgery Spine ◽

10.3171/2014.11.spine14710 ◽

2015 ◽

Vol 23 (1) ◽

pp. 42-48 ◽

Cited By ~ 7

Author(s):

Xinyu Liu ◽

Suomao Yuan ◽

Yonghao Tian ◽

Lianlei Wang ◽

Yanping Zheng ◽

...

Keyword(s):

Blood Loss ◽

Vertebral Column ◽

Operative Time ◽

Kyphotic Angle ◽

Vertebral Column Resection ◽

Average Blood Loss ◽

Group A ◽

Angular Kyphosis ◽

Group B

OBJECT The purpose of this study was to determine the efficacy of a modified vertebral column resection for the treatment of thoracolumbar angular kyphosis. METHODS A total of 13 patients (8 male, 5 female) with thoracolumbar kyphosis (kyphotic angle > 60°) were included in this study (Group A). There were 3 patients with failure of spinal formation (Type 1 deformity), 6 patients with old thoracic or lumbar compression fracture, and 4 patients with old spinal tuberculosis (including 1 case of T3–5 vertebral malunion). The average preoperative kyphotic angle was 67.3° (range 62°–75°). Each patient underwent an expanded eggshell procedure combined with the closing-opening technique for the treatment of thoracolumbar angular kyphosis. Sixteen patients who were previously treated with a closing-opening wedge osteotomy in the same spine classification group (kyphotic angle > 60°) were used as a control group (Group B). RESULTS In Group A, the average (± SD) operative time was 400 ± 60 minutes, and the average blood loss was 960 ± 120 ml. There were no surgery-related complications observed during or after the operations. The average local kyphotic angle was 20.3° (range 18°–24.5°), and the average correction rate was 68.7%. In Group B, the average operative time was 470 ± 90 minutes, and the average blood loss was 2600 ± 1600 ml (range 1200–8200 ml). There were segmental vessels and spinal canal venous plexus injury in 1 case, spinal cord injury in 1 case, dural tearing in 2 cases, pleural rupture in 2 cases, and hemothorax and pneumothorax in 1 case. Each patient had more than 2 years of follow-up. At the latest follow-up examination, the average regional kyphotic angle was 19.9° ± 9.1° (range 19°–34°), and there was no significant loss of correction (p > 0.05). There was greater blood loss and a higher complication rate in Group B than in Group A (p < 0.05). CONCLUSIONS An expanded eggshell procedure combined with the closing-opening technique for the treatment of thoracolumbar angular kyphosis resulted in significant reduction of the kyphotic angle, few complications, and good follow-up results. However, a larger series of patients and long-term follow-up results is still required to verify the effectiveness and safety of this method.

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