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

BMC Surgery

Research Article

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

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

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

DOI  :  10.1186/s12893-015-0062-9

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

来源: Springer

【 摘 要 】

BackgroundSpine 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.MethodsWe 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.ResultsThere 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.ConclusionsThe 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】

CC BY   
© Zou et al. 2015