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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2017
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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 |
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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 |
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