Blood Transfusion after Total Knee Arthroplasty; Comparison of Drainage versus Non-Drainage

Majeed, Haroon; Bishnoi, Amit; Yallupa, Sachin; Howard, Peter

doi:10.4172/2329-8790.1000114

Cited by 1 publication

(3 citation statements)

References 27 publications

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“…However, the use of drains during TKA is associated with excessive blood loss, the need for postoperative allogenic blood transfusion and increased complications3456).…”

Section: Introductionmentioning

confidence: 99%

“…Drains are routinely used during closure in total knee arthroplasty (TKA) due to the traditional belief that it will prevent wound hematoma, facilitate wound healing and minimize chances of infection 1 2) . However, the use of drains during TKA is associated with excessive blood loss, the need for postoperative allogenic blood transfusion and increased complications 3 4 5 6) .…”

Section: Introductionmentioning

confidence: 99%

“…Although several studies have analyzed the use of drains and its effect on blood loss during TKA, most of them have been done in patients undergoing unilateral TKAs 5 6 10 11) . Literature is lacking regarding the effect of drain usage in patients undergoing simultaneous bilateral TKA especially in terms of blood loss and the need of postoperative blood transfusions.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Closed Suction Drain on Blood Loss and Transfusion Rates in Simultaneous Bilateral Total Knee Arthroplasty: A Prospective Randomized Study

Jhurani

Shetty

Gupta

et al. 2016

Knee Surg Relat Res

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PurposeSimultaneous bilateral total knee arthroplasty (TKA) is associated with excessive blood loss and morbidity arising from postoperative reduction in hemoglobin (Hb). The purpose of this prospective randomized study was to determine if drains have any effect on blood loss, postoperative reduction in Hb levels and transfusion rates compared to no drainage in simultaneous bilateral TKAs.Materials and MethodsTwo hundred and thirty patients who underwent simultaneous bilateral TKA by a single surgeon were randomly allotted to drain or no-drain group (n=115 in each group). Postoperative Hb level, blood loss volume and transfusion rate were compared between the two groups.ResultsThe mean postoperative Hb level (p=0.38), blood loss volume (p=0.33) and transfusion rate (p=0.52) in the drain group were not significantly different compared to the no-drain group. No statistical difference was found in terms of complications, readmissions and mortality rates between the two groups.ConclusionsNo significant difference was observed in the two groups with respect to blood loss and blood transfusion. Non-drainage does not offer an advantage over drainage with respect to conserving blood in simultaneous bilateral TKA.

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“…However, the use of drains during TKA is associated with excessive blood loss, the need for postoperative allogenic blood transfusion and increased complications3456).…”

Section: Introductionmentioning

confidence: 99%