Intraoperative blood loss, postoperative drainage, and recovery in patients undergoing lumbar spinal surgery

BMC Surgery

Jingxin Zhao¹  Li Liang¹  Feng Yang¹  Mingsheng Tan¹  Houfu Sheng¹  Zhongshi Li¹  Haibo Zou¹ 

[1] Department of Orthopaedic Spine Surgery, China-Japan Friendship Hospital, 2 Yinghua Dongjie, Hepingli, Chaoyang District, Beijing 100029, P. R. China

关键词: Spine surgery;    Close and open of drainage tube;    Postoperative drainage volume;    Intraoperative blood loss;   

Others  :  1215943
DOI  :  10.1186/s12893-015-0062-9

 received in 2014-11-10, accepted in 2015-06-05,  发布年份 2015

【 摘 要 】

Background

Spine surgery is widely accepted as an effective management for patients with lumbar disc herniation; however, the factors influencing intraoperative procedure and prognosis are not fully understood. The present study was aimed to identify the factors influencing intraoperative blood loss, postoperative drainage volume, and recovery in patients undergoing spinal surgery.

Methods

We retrospectively analyzed the clinical data of 183 consecutive patients with lumbar disc herniation who underwent spine surgery. The clinical characteristics, operation procedure, and outcome were documented and the correlations were analyzed.

Results

There were significant differences between one-level and two-level operations in the bleeding volumes of male (P = 0.005) and female (P = 0.002) patients, and in final drainage of male (P = 0.043) and female (P = 0.003) patients. The blood loss was correlated with the operation duration. There were differences in intraoperative bleeding and final drainage between groups with one-level and two-level operations. Additionally, there were differences in intraoperative autologous blood transfusion among various groups. There were significant differences in intraoperative bleeding between autologous blood transfusion and non-transfusion groups.

Conclusions

The key factors affecting the intraoperative blood loss and postoperative drainage volume include operation methods, operation duration, blood-transfusion modes, and usage of anticoagulants. These results should be taken into consideration in the attempt to optimize operation procedure and improve post-operative recovery.

【 授权许可】

   
2015 Zou et al.

【 图 表 】

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