Does Hemostasis with Controlled Arterial Hypertension Before Surgical Wound Closure in Total Knee Arthroplasty Affect the Amount of Bleeding and Transfusion Need?

Authors : Mehmet Halis ÇERÇİ

Pages : 402-409

Doi:10.26453/otjhs.1335602

View : 24 | Download : 39

Publication Date : 2023-09-06

Article Type : Research Paper

Abstract :Objective: We aimed to assess the efficacy of hemostasis while controlled augmentation of arterial blood pressure before surgical closure after total knee arthroplasty insert ignore into journalissuearticles values(TKA);. Materials and Methods: This retrospective cohort involved data collected from the medical files of 87 patients insert ignore into journalissuearticles values(62 women, 25 men); who underwent TKA using hypotensive epidural anesthesia insert ignore into journalissuearticles values(HEA);. Patients were allocated into two groups. Group I insert ignore into journalissuearticles values(n=44); received HEA, while Group II insert ignore into journalissuearticles values(n=43); had controlled arterial hypertension before surgical closure. Perioperative hemoglobin and hematocrit levels, systolic and diastolic blood pressure, and the amount of erythrocyte suspension transfusion were compared between the two groups. Results: The average age of our series was 66.41 ± 6.17 insert ignore into journalissuearticles values(range: 57-78); years. Notably, the amount of bleeding on postoperative 1st, 2nd, 4th, 12th, and 24th insert ignore into journalissuearticles values(p=0.031, 0.032, 0.001, 0.001, 0.001, respectively); hours was significantly less in Group II. There were no significant differences between the two groups for complications, operative duration, perioperative bleeding, duration of follow-up and hospitalisation, and compared descriptives. Conclusion: Our data indicated that controlled elevation of mean arterial pressure before surgical closure might allow the achievement of meticulous hemostasis after TKA. Further prospective, randomised, controlled trials on more extensive series are warranted to verify our preliminary results.
Keywords : Kanama, hemostazis, hipotansif epidural anestezi, kontrollü hipertansiyon, total diz artroplastisi