Hidden blood loss during posterior spine fusion surgery

Smorgick, Yossi; Baker, Kevin C.; Bachison, Casey; Herkowitz, Harry N.; Montgomery, David; Fischgrund, Jeffrey S.

doi:10.1016/j.spinee.2013.02.008

Cited by 122 publications

(116 citation statements)

References 14 publications

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“…Intraoperative estimated blood loss (EBL) were calculated on the basis of surgical sponges soaked and volume in suction canisters, subtracting irrigation fluid added to the surgical field [3]. Deep drainage was placed below the fascia in all patients at the end of operations.…”

Section: Methodsmentioning

confidence: 99%

A randomized controlled trial on effects of different hemostatic sponges in posterior spinal fusion surgeries

Ren

Chen

et al. 2016

BMC Surg

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BackgroundSpinal fusion surgery is associated with significant blood loss, which may result in potential clinical complications, it is necessary to take safe and effective measures to reduce blood loss in surgery. We perform this study to assess the impact of three different hemostatic materials on perioperative blood loss.MethodsWe performed a Randomized Controlled Trial research and recruited patients with lumbar disease into the study between November 2013 and March 2015. All the participants were randomly assigned to 3 groups using a simple equal probability randomization scheme: Group A (Stypro hemostatic sponge), Group B (Collagen hemostatic sponge) and Group C (gelatin sponge). We compared postoperative blood loss between these 3 groups.ResultsIn our study, drainage volume in the first 24 h of patients in Group A and B is significantly smaller, as well as total postoperative volumes of drainage (p < 0.05) during their hospital stay. The drainage volumes in the second 24 h were similar in the 3 groups. We also found that the average drainage Hematocrit (HCT) reduced over time, the average HCT of drainage is 18.04% and 11.72% on the first day and on the second day respectively.ConclusionsHemostatic collagen sponge demonstrated better hemostasis effects than gelatin sponge with lower volume of postoperative drainage volume and blood loss in posterior spinal fusion surgery.Trial registrationThe trial registration number (TRN) of the study is ISRCTN29254316 and date of registration is 25/10/2016. Our trial was registered retrospectively.

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Section: Methodsmentioning

confidence: 99%

A randomized controlled trial on effects of different hemostatic sponges in posterior spinal fusion surgeries

Ren

Chen

et al. 2016

BMC Surg

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“…When assessing total blood loss (TBL) during spinal fusion surgery, the standard is to measure intraoperative blood loss (IBL) and postoperative blood loss (PBL), which ignores so-called "hidden blood loss" that has been found to be significant in the field of surgery. 5,6 Hidden blood loss (HBL) negatively affects patients' outcomes, such as medical complications and prolonged hospitalization time. The percentage of HBL was reported to be approximately 45% of TBL, according to the reports of Smorgick et al 6 HBL is a significant portion of TBL in the patients after spinal fusion surgery, which can result in the increased allergenic blood transfusion requirements.…”

Section: Orthopedic Gen Hosp Agios Andreas Patras Greecementioning

confidence: 99%

“…5,6 Hidden blood loss (HBL) negatively affects patients' outcomes, such as medical complications and prolonged hospitalization time. The percentage of HBL was reported to be approximately 45% of TBL, according to the reports of Smorgick et al 6 HBL is a significant portion of TBL in the patients after spinal fusion surgery, which can result in the increased allergenic blood transfusion requirements. 7 Potential problems associated with allergenic blood transfusion include disease transmission, transfusion reactions, and infections.…”

Section: Orthopedic Gen Hosp Agios Andreas Patras Greecementioning

confidence: 99%

Hidden Blood Loss in Spine Surgery for A1-A3 thoracolumbar Fractures. Comparison Between Three Approaches

Korovessis

2018

Journal of Investigative Surgery

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“…11--13 In addition, up to 40% of the actual volume lost during the perioperative and immediate postoperative period can be hidden losses not captured intraoperatively or in postoperative drain output. 12 Recent studies have specified numerous patient and surgery-related factors affecting blood loss in patients undergoing multilevel spinal fusion. These factors include height, weight, age, sex, the severity and type of spinal deformity, as well as medical comorbidities more often encountered in the neuromuscular, congenital, and adult spinal deformity populations.…”

Section: Introductionmentioning

confidence: 99%

Management of operative blood loss in spinal deformity surgery

Gandhi

Verma

Aguwa

et al. 2015

Current Orthopaedic Practice

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Background:Surgery for spinal deformity is associated with high levels of blood loss that may be increased with certain patient factors and complex or revision procedures that include osteotomies. Major blood loss is a vital consideration in patients undergoing complex spine surgery not only because of direct hemodynamic consequences but also because of the potential complications associated with allogeneic blood administration. The purpose of this review is to describe the current evidence supporting blood conservation techniques in spinal deformity surgery.

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Hidden blood loss during posterior spine fusion surgery

Cited by 122 publications

References 14 publications

A randomized controlled trial on effects of different hemostatic sponges in posterior spinal fusion surgeries

A randomized controlled trial on effects of different hemostatic sponges in posterior spinal fusion surgeries

Hidden Blood Loss in Spine Surgery for A1-A3 thoracolumbar Fractures. Comparison Between Three Approaches

Management of operative blood loss in spinal deformity surgery

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