1. Is suction drainage necessary in elective total hip arthroplasty?
- Author
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Major, T., Bikov, A., Holnapy, G., Bejek, Z., Bakos, B., Szendroi, M., and Skaliczki, G.
- Subjects
trends ,Male ,Tranexamic acid ,very elderly ,Arthroplasty, Replacement, Hip ,Operative Time ,Blood Loss, Surgical ,Red blood cell transfusion ,blood transfusion ,Suction ,Article ,suction drainage ,middle aged ,operative blood loss ,statistics and numerical data ,Humans ,controlled study ,hip replacement ,human ,procedures ,Prospective Studies ,hip arthroplasty ,Aged ,Aged, 80 and over ,controlled clinical trial ,operation duration ,major clinical study ,peroperative complication ,elective surgery ,suction drain ,female ,Elective Surgical Procedures ,standards ,Total hip arthroplasty ,perioperative blood loss ,prospective study - Abstract
Introduction: Several studies have been published which questioned the use of suction drain during elective hip arthroplasty. Aim: In this prospective study the authors examined how the use of suction drainage affected complications related to perioperative blood loss and hemorrhage in patients undergoing elective hip arthroplasty. Method: Eightysix patients undergoing elective hip arthroplasty were divided into two groups. In 54 patients ("drain" group) suction drains were used during operation, whereas in 32 patients no suction drain was applied. Perioperative blood loss, use of tranexamic acid, method of thrombosis prophylaxis, transfusion requirement, incidental postoperative hemorrhage, septic complications, and all other postoperative complications were recorded. Results: Perioperative blood loss was affected with the use of tranexamic acid but not with the use of drainage (p = 0.94). Patients without the use of drain showed a tendency of lower transfusion requirement (p = 0.08). There was no correlation between any complications and the use of drainage. Conclusion: In accordance with published results the authors conclude that the routine use of suction drainage during elective hip arthroplasty is not definitely necessary.
- Published
- 2016