The comparison of the effects of intraoperative bleeding control and postoperative drain clamping methods on the postoperative blood loss and the need for transfusion following total knee arthroplasty

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dc.contributor.authorAksoy, Yusuf
dc.contributor.authorAltınel, Levent
dc.contributor.authorKöse, Kamil Çağrı
dc.date.accessioned2020-04-30T23:32:43Z
dc.date.available2020-04-30T23:32:43Z
dc.date.issued2011
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000294278700010en_US
dc.descriptionPubMed: 21765233en_US
dc.description.abstractObjective: We aimed to determine and compare the effects of intraoperative bleeding control and two hours postoperative drain clamping method on postoperative wound drainage and the need for donor blood transfusion following total knee arthroplasty (TKA). Methods: Seventy-one patients who underwent TKA were randomly assigned into two groups. Fourty-four knees of 32 patients comprised Group A and 51 knees of 39 patients comprised Group B. In Group A, no bleeding control was done and postoperatively, the drain was clamped for 2 hours. Then it was unclamped to begin aspiration after the 2nd hour. In Group B, the bleeding was controlled intraoperatively, and the drain was not clamped after the surgery. Drains were removed 48 hours after the surgery in both groups. Bilateral and unilateral arthroplasty patients were evaluated separately. The groups were compared for their preoperative and postoperative 3-day haemoglobin (Hb) levels, total drainage amount and total number of blood transfusions. Results: The haemoglobin levels were similar in both groups preoperatively and at the 1st, 2nd and 3rd postoperative days. In Group A, the wound drainage was 696.1 +/- 235.4 ml in unilateral TKA patients and was 1010.8 +/- 535.5 ml in bilateral arthroplasty patients. In Group B, the wound drainage was 710.1 +/- 380.1 ml in unilateral TKA patients and was 878.3 +/- 489.6 ml in bilateral arthroplasty patients. The mean number of transfusions was 1.41 units with no significant differences between the groups. Conclusion: The two hour drain clamping method without intraoperative bleeding control does not seem to affect the amount of blood loss and the need for transfusion when compared to intraoperative bleeding control in total knee arthroplasty patients. Hovewer, it is a simple and feasible method and can be used to decrease the operation time.en_US
dc.identifier.doi10.3944/AOTT.2011.2398en_US
dc.identifier.endpage194en_US
dc.identifier.issn1017-995X
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage190en_US
dc.identifier.urihttps://doi.org/10.3944/AOTT.2011.2398
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4798
dc.identifier.volume45en_US
dc.identifier.wosWOS:000294278700010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Assoc Orthopaedics Traumatologyen_US
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBleeding controlen_US
dc.subjectblood lossen_US
dc.subjectdrain clampingen_US
dc.subjecttotal knee arthroplastyen_US
dc.titleThe comparison of the effects of intraoperative bleeding control and postoperative drain clamping methods on the postoperative blood loss and the need for transfusion following total knee arthroplastyen_US
dc.typeArticleen_US

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