Is Suction Drainage Necessary after Total Knee Arthroplasty?

Song, Moo Ho; Kim, Bu Hwan; Kim, Tae Hyung

doi:10.4055/jkoa.2004.39.2.186

Cited by 2 publications

(2 citation statements)

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“…We believe the amount of drained blood reflects bleeding tendency clinically. In most cases, bleeding stopped within 2-3 postoperative days, and consequently the drainage was also removed 1 , 6 , 9 , 10 , 29) . The average amount of drained blood until 48 hours after surgery was 1,197 mL (±400) in group A and 975 mL (±422) in group B. Anticoagulant therapy did not significantly increase the amount of drained blood (p>0.05).…”

Section: Discussionmentioning

confidence: 99%

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The Efficacy and Safety of Postoperative Autologous Transfusion of Filtered Shed Blood and Anticoagulant Prophylaxis in Total Knee Arthroplasty Patients

Park

Lee

Jin

et al. 2012

Knee Surg Relat Res

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PurposeTo assess the efficacy and safety of autologous transfusion of filtered shed blood in total knee arthroplasty (TKA).Materials and MethodsA total of 42 patients with TKA (group A; without autologous transfusion in 15 patients, group B; with autologous transfusion in 27 patients) were evaluated retrospectively. The influence of autologous reinfusion of filtered blood, bleeding tendency, amount of blood drainage, rate of allogenic transfusion, and the postoperative changes of hemoglobin were analyzed.ResultsAllogenic transfusion was needed in 26.7% (4/15) of group A and none of group B till postoperative 48 hours. Till postoperative 14 days, 46.7% (7/15) of group A needed allogenic transfusion while 7.4% (2/27) in group B. The average drained blood volume was 1,197±400 mL in group A and 975±422 mL in group B. The average decrease of hemoglobin at postoperative 1, 7, and 14 days was 2.9±1.5, 2.9±1.6, and 2.3±1.5 g/dL respectively in group A and 2.7±0.8, 4.0±1.0, and 2.9±1.3 g/dL respectively in group B.ConclusionsAn autotransfusion system lowered the allogenic transfusion rate, while anticoagulants did not increase the amount of drained blood. An autotransfusion system with anticoagulants was effective and safe to save the shed blood in TKA.

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Section: Discussionmentioning

confidence: 99%

“…Suction drainage in total knee arthroplasty (TKA) has been used primarily to prevent hemoarthrosis, hematomas and infections, and secondly to promote wound healing and rehabilitation 1) . In general, a large amount of blood is lost during and after surgery, which requires allogenic transfusion to stabilize the patient's vital signs.…”

Section: Introductionmentioning

confidence: 99%