Bipolar Sealer Device Reduces Blood Loss and Transfusion Requirements in Posterior Spinal Fusion for Degenerative Lumbar Scoliosis

Wang, Xuesong; Sun, Gang; Sun, Ruifu; Ba, Chenglei; Gong, Xiaojin; Liu, Wei-Bo; Zhai, Rui

doi:10.1097/bsd.0000000000000112

Cited by 18 publications

(10 citation statements)

References 21 publications

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“…In another study by Wang and colleagues, they showed that using bipolar electrocautery or bipolar sealer for lumbar degenerative scoliosis surgeries leads to significantly reduced bleeding compared to using standard or monopolar electrocautery (26). These results differ from our study results, which may be due to the difference in the age of the patients and the type of the surgery.…”

Section: Discussioncontrasting

confidence: 99%

Comparative Effects of Standard and Bipolar Cauterization in Pediatric Orthopedic Surgery

Baghdadi

Arti

Zargarbashi

2018

J Orthop Spine Trauma

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Background: One of the most important issues in the orthopedic surgery, especially pediatric orthopedic surgery, is to prevent or reduce bleeding during the operating time. The goal of local hemostasis is to prevent or blockade the flow of blood from a disrupted vessel that has been incised or transected. Objectives: The aim of this study was to compare the effects of standard (monopolar) and bipolar electrocauterization during the pediatric orthopedic surgery. Methods: In this study, 60 patients were enrolled for the pediatric orthopedic surgery and classified into two groups. Group I included 30 patients undergoing hemostasis with standard electrocautery and group II comprised 30 patients undergoing hemostasis with bipolar electrocautery. The intraoperative bleeding was measured with sterile absorbent gauze. Every gauze could absorb 20 mL of blood. Then, bleeding was compared between the groups.

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Section: Discussioncontrasting

confidence: 99%

Comparative Effects of Standard and Bipolar Cauterization in Pediatric Orthopedic Surgery

Baghdadi

Arti

Zargarbashi

2018

J Orthop Spine Trauma

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“…Finally, we identified 12 RCTs with 1130 patients (bipolar sealer = 555, standard electrocautery = 575) that were associated with orthopedic surgery [11,12,23,32] (Figure 1). A total of 6 studies involved THA [11,28,32], 3 studies involved TKA [12,23,24], and 3 studies involved spinal surgery [25,27]. The number of patients included in the studies ranged from 25 to 100.…”

Section: Search Resultsmentioning

confidence: 99%

“…Because it was impossible to blind the participants and surgeons who performed the surgery, all outcomes had an unclear risk of bias for this domain [11,12,23,32]. The detection bias was low in 6 studies [11,23,25,28,30], and the rest had unclear risk bias [12,24,26,27,31,32]. Attrition bias, reporting bias and other biases were low in 9 studies [11,12,23,25,28,32] and the remaining 3 studies all had unclear bias [24,26,27].…”

Section: Quality Assessmentmentioning

confidence: 99%

Bipolar sealer can reduce intraoperative blood loss and transfusion in major orthopedic surgery: a meta-analysis and trial sequence analysis

Wang¹,

Feng²,

Wang³

et al. 2018

Oncotarget

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To evaluate the efficacy and safety of bipolar sealer for the reduction of intraoperative blood loss and transfusion requirements for patients undergoing major orthopedic surgery, including total knee arthroplasty (TKA), total hip arthroplasty (THA), and spinal surgery. and hemoglobin drop (WMD, -0.14; 95% CI, -0.27-0.00; P = 0.05). There were no significant differences between operation time, the length of the hospital stay and the occurrence of infection (P > 0.05). Compared to standard electrocautery, bipolar sealer can effectively reduce intraoperative blood loss and subsequent blood transfusion without increasing the rate of infections.

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“…The impetus on spine surgeons to transition to the outpatient setting has been spurred by minimally invasive and less exposure surgery techniques (4, 9,11,14). Several studies have demonstrated the use of transexemic acid, bipolar sealer devices in reducing blood loss and transfusion requirement in surgery for scoliosis (15,16). Other outpatient studies are available demonstrating surgical techniques with excellent or equivocal outcomes to inpatient surgery, with comparison of blood loss (3-5).…”

Section: Discussionmentioning

confidence: 99%

Avoiding Transfusion in 700 consecutive Outpatient Spine Surgery Patients Using Less Exposure Surgery Techniques

Pencle¹,

Britton²,

Packer³

et al. 2017

West Indian Med J

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Objective: Spine surgery is transitioning using minimally invasive and less exposure surgery (LES) techniques. Blood loss requiring transfusions remains a distinct complication. The authors aim to demonstrate the use of tips and techniques in decreasing the risk of transfusion in the outpatient setting. Methods: The databases of 1512 outpatient spine cases in a single surgeon study were reviewed between 2011 and 2015. We excluded from our analysis, all cervical and lumbar epidural steroid injections as well as, discograms, rhizotomies and non-spine orthopaedic procedures (total 812). Results: Of a total, of 700 total spine surgery cases, 300 (43%) of all spine surgeries were performed in Group 1 (cervical spine) and 400 (57%) in Group 2 (lumbar spine). Females represented 49% of the overall patient population (

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Bipolar Sealer Device Reduces Blood Loss and Transfusion Requirements in Posterior Spinal Fusion for Degenerative Lumbar Scoliosis

Abstract: Utilization of a bipolar sealer during correction of lumbar degenerative scoliosis may offer comparable hemostatic effects, without prohibitive cost or adverse drug-related risks.

Cited by 18 publications

References 21 publications

Comparative Effects of Standard and Bipolar Cauterization in Pediatric Orthopedic Surgery

Comparative Effects of Standard and Bipolar Cauterization in Pediatric Orthopedic Surgery

Bipolar sealer can reduce intraoperative blood loss and transfusion in major orthopedic surgery: a meta-analysis and trial sequence analysis

Avoiding Transfusion in 700 consecutive Outpatient Spine Surgery Patients Using Less Exposure Surgery Techniques

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