Bipolar sealer can reduce intraoperative blood loss and transfusion in major orthopedic surgery: a meta-analysis and trial sequence analysis

Abstract

To evaluate the efficacy and safety of bipolar sealer for the reduction of intraoperative blood loss and transfusion requirements for patients undergoing major orthopedic surgery, including total knee arthroplasty (TKA), total hip arthroplasty (THA), and spinal surgery. and hemoglobin drop (WMD, -0.14; 95% CI, -0.27-0.00; P = 0.05). There were no significant differences between operation time, the length of the hospital stay and the occurrence of infection (P > 0.05). Compared to standard electrocautery, bipolar sealer can effectively reduce intraoperative blood loss and subsequent blood transfusion without increasing the rate of infections.

Clinical Outcomes and Experience of a Multiyear Consecutive Case Series of Total Knee Arthroplasty Procedures Conducted with a Bipolar Sealer System for Hemostasis

“…The benefits of bipolar sealer technology have been reported to include improved perioperative visual field, 40 decreased trauma to the surrounding tissue, and reduced blood loss that results in a reduced rate of transfusion. 29,36,41,42 The purpose of this study is to evaluate the safety and effectiveness of the bipolar sealer device in primary knee replacement in the largest series to date. This was evaluated through a consecutive, treatment-control series of subjects who underwent a primary TKA utilizing a bipolar sealer for hemostasis as compared with those without.…”