Abstract
Objective: to assess the influence of various factors on blood loss and blood parameters in the postoperative period in patients undergoing hip replacement surgery with and without tranexamic acid. Material and methods. The operations of primary and revision hip arthroplasty were performed in 646 patients with various pathology of the hip by two surgery teams. Patients were divided into two groups: with the use the tranexamic acid - 284 and without its application - 362. We determined the amount of intraoperative blood loss, blood parameters (hemoglobin, red blood cells, platelets) before surgery and in the first, third and sixth days after the operation. Also the analysis of drainage system influence is carried out. Results. The tranexamic acid application during total hip arthroplasty allows to reduce intraoperative blood loss, to optimize the process of normalization red blood in the postoperative period. The renunciation of wound drainage decreased the total amount of blood loss on average 2.2 times and respectively, the need for blood transfusions.
Highlights
The operations of primary and revision hip arthroplasty were performed in 646 patients with various pathology of the hip by two surgery teams
Patients were divided into two groups: with the use the tranexamic acid – 284 and without its application – 362
We determined the amount of intraoperative blood loss, blood parameters before surgery and in the first, third and sixth days after the operation
Summary
ВЛИЯНИЕ РАЗЛИЧНЫХ ФАКТОРОВ НА КРОВОПОТЕРЮ ПРИ ЭНДОПРОТЕЗИРОВАНИИ ТАЗОБЕДРЕННОГО СУСТАВА. Цель исследования – оценить влияние различных факторов на кровопотерю и показатели крови у пациентов в послеоперационном периоде после эндопротезирования тазобедренного сустава с применением и без применения транексамовой кислоты. Все больные были разделены на две группы: с применением транексамовой кислоты – 284 и без ее применения – 362. Применение транексамовой кислоты при проведении эндопротезировании тазобедренного сустава позволяет уменьшить интраоперационную и дренажную кровопотери, оптимизировать процесс нормализации показателей красной крови в послеоперационном периоде, а отказ от дренирования – уменьшить объем суммарной кровопотери в среднем в 2,2 раза и соответственно снизить потребность в гемотрансфузиях. THE INFLUENCE OF VARIOUS FACTORS ON BLOOD LOSS IN PATIENTS UNDERGOING TOTAL HIP REPLACEMENT. Objective: to assess the influence of various factors on blood loss and blood parameters in the postoperative period in patients undergoing hip replacement surgery with and without tranexamic acid
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