Cargando…

An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos

BACKGROUND: Severe hip pain with associated significant functional limitation is the major indication for total hip replacement, a rewarding and gratifying procedure. However, significant blood loss can occur in the intra- and post-operative periods, posing a major challenge and necessitating prompt...

Descripción completa

Detalles Bibliográficos
Autores principales: Ugbeye, Michael Ebiyon, Lawal, Wakeel Olaide, Ayodabo, Olusegun John, Adadevoh, Ine Prattson, Akpan, Imeh James, Nwose, Uche
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441215/
https://www.ncbi.nlm.nih.gov/pubmed/28584511
http://dx.doi.org/10.4103/1117-6806.205750
_version_ 1783238223057649664
author Ugbeye, Michael Ebiyon
Lawal, Wakeel Olaide
Ayodabo, Olusegun John
Adadevoh, Ine Prattson
Akpan, Imeh James
Nwose, Uche
author_facet Ugbeye, Michael Ebiyon
Lawal, Wakeel Olaide
Ayodabo, Olusegun John
Adadevoh, Ine Prattson
Akpan, Imeh James
Nwose, Uche
author_sort Ugbeye, Michael Ebiyon
collection PubMed
description BACKGROUND: Severe hip pain with associated significant functional limitation is the major indication for total hip replacement, a rewarding and gratifying procedure. However, significant blood loss can occur in the intra- and post-operative periods, posing a major challenge and necessitating prompt restoration of circulating blood volume to minimize morbidity and mortality. The aim of this study was to evaluate blood loss after primary total hip replacement, and to determine the effect of surgical time on blood loss. PATIENTS AND METHODS: A prospective study of blood loss after total hip arthroplasty in 41 patients. All cases were primary total hip arthroplasty done by one surgeon. Intra- and post-operative blood losses were recorded in two groups of patients (surgical time <2 h and surgical time >2 h), and the effect of these on blood loss was evaluated. RESULTS: The mean intra- and post-operative blood losses were 1222.7 ml and 574.3 ml, respectively. These showed a strong positive correlation with total blood loss (r = 0.790, P < 0.001 and r = 0.517, P < 0.001). Higher intra- and post-operative blood losses were recorded in patients with surgical time >2 h, with a significant difference on postoperative days 2 and 3 (P = 0.003 and P = 0.014, respectively). CONCLUSION: Blood loss in total hip replacement is an important factor and may be influenced by a shorter surgical time.
format Online
Article
Text
id pubmed-5441215
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-54412152017-06-05 An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos Ugbeye, Michael Ebiyon Lawal, Wakeel Olaide Ayodabo, Olusegun John Adadevoh, Ine Prattson Akpan, Imeh James Nwose, Uche Niger J Surg Original Article BACKGROUND: Severe hip pain with associated significant functional limitation is the major indication for total hip replacement, a rewarding and gratifying procedure. However, significant blood loss can occur in the intra- and post-operative periods, posing a major challenge and necessitating prompt restoration of circulating blood volume to minimize morbidity and mortality. The aim of this study was to evaluate blood loss after primary total hip replacement, and to determine the effect of surgical time on blood loss. PATIENTS AND METHODS: A prospective study of blood loss after total hip arthroplasty in 41 patients. All cases were primary total hip arthroplasty done by one surgeon. Intra- and post-operative blood losses were recorded in two groups of patients (surgical time <2 h and surgical time >2 h), and the effect of these on blood loss was evaluated. RESULTS: The mean intra- and post-operative blood losses were 1222.7 ml and 574.3 ml, respectively. These showed a strong positive correlation with total blood loss (r = 0.790, P < 0.001 and r = 0.517, P < 0.001). Higher intra- and post-operative blood losses were recorded in patients with surgical time >2 h, with a significant difference on postoperative days 2 and 3 (P = 0.003 and P = 0.014, respectively). CONCLUSION: Blood loss in total hip replacement is an important factor and may be influenced by a shorter surgical time. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5441215/ /pubmed/28584511 http://dx.doi.org/10.4103/1117-6806.205750 Text en Copyright: © 2017 Nigerian Journal of Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ugbeye, Michael Ebiyon
Lawal, Wakeel Olaide
Ayodabo, Olusegun John
Adadevoh, Ine Prattson
Akpan, Imeh James
Nwose, Uche
An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos
title An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos
title_full An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos
title_fullStr An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos
title_full_unstemmed An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos
title_short An Evaluation of Intra- and Post-operative Blood Loss in Total Hip Arthroplasty at the National Orthopaedic Hospital, Lagos
title_sort evaluation of intra- and post-operative blood loss in total hip arthroplasty at the national orthopaedic hospital, lagos
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5441215/
https://www.ncbi.nlm.nih.gov/pubmed/28584511
http://dx.doi.org/10.4103/1117-6806.205750
work_keys_str_mv AT ugbeyemichaelebiyon anevaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT lawalwakeelolaide anevaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT ayodaboolusegunjohn anevaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT adadevohineprattson anevaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT akpanimehjames anevaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT nwoseuche anevaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT ugbeyemichaelebiyon evaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT lawalwakeelolaide evaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT ayodaboolusegunjohn evaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT adadevohineprattson evaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT akpanimehjames evaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos
AT nwoseuche evaluationofintraandpostoperativebloodlossintotalhiparthroplastyatthenationalorthopaedichospitallagos