Hidden blood loss and its risk factors in patients undergoing laparoscopy and laparotomy for cervical cancer management

Zhao, Yu; Hu, Jianing; Xiang, Junmiao; Li, Wenju; Zhu, Xuejie; Zhao, Min; Sun, Rongjiao; Hu, Yue; Zhang, Qiong

doi:10.1007/s00404-019-05162-4

Cited by 7 publications

(6 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that the preoperative HCT in the transfusion group was higher than that in the non-transfusion group. Our study was supported by another study suggesting that a high preoperative HCT value was a risk factor for increased hidden blood loss (HBL) in patients undergoing laparoscopy and laparotomy for cervical cancer treatment [ 12 ].…”

Section: Discussionsupporting

confidence: 78%

Risk factor analysis and establishment of a nomogram model to predict blood loss during total knee arthroplasty

Liu,

Ai,

Teng

et al. 2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Purpose The risk factors for excessive blood loss and transfusion during total knee arthroplasty (TKA) remain unclear. The present study aimed to determine the risk factors for excessive blood loss and establish a predictive model for postoperative blood transfusion. Methods This retrospective study included 329 patients received TKA, who were randomly assigned to a training set (n = 229) or a test set (n = 100). Univariate and multivariate linear regression analyses were used to determine risk factors for excessive blood loss. Univariate and multivariate logistic regression analyses were used to determine risk factors for blood transfusion. R software was used to establish the prediction model. The accuracy and stability of the models were evaluated using calibration curves, consistency indices, and receiver operating characteristic (ROC) curve analysis. Results Risk factors for excessive blood loss included timing of using a tourniquet, the use of drainage, preoperative ESR, fibrinogen, HCT, ALB, and free fatty acid levels. Predictors in the nomogram included timing of using a tourniquet, the use of drainage, the use of TXA, preoperative ESR, HCT, and albumin levels. The area under the ROC curve was 0.855 (95% CI, 0.800 to 0.910) for the training set and 0.824 (95% CI, 0.740 to 0.909) for the test set. The consistency index values for the training and test sets were 0.855 and 0.824, respectively. Conclusions Risk factors for excessive blood loss during and after TKA were determined, and a satisfactory and reliable nomogram model was designed to predict the risk for postoperative blood transfusion.

show abstract

Section: Discussionsupporting

confidence: 78%

Risk factor analysis and establishment of a nomogram model to predict blood loss during total knee arthroplasty

Liu,

Ai,

Teng

et al. 2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…Additionally, they concluded that albumin loss, sex, and hypertension were significantly associated with HBL by a multiple linear regression analysis. In a study of gynecological surgeries, Zhao et al 26 examined HBL in the surgical treatment of stage IA to IIA cervical carcinoma in patients who underwent radical hysterectomy and pelvic lymphadenectomy by laparotomy or laparoscopy. The authors found that the HBL was seriously underestimated and was a significant portion of the TBL.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, a study of the surgical treatment of cervical carcinoma showed that a longer surgical time enhanced the risk of higher HBL. 26 Therefore, we hypothesized that a longer duration of surgery may allow the omentum and intestinal space to absorb more blood, resulting in relatively low VBL, which conversely increases the HBL. Furthermore, when the surgery time is longer, the intraoperative blood may coagulate in the anatomical third space and not be drained out, and this blood is usually ignored when evaluating the VBL.…”

Section: Discussionmentioning

confidence: 99%

Analysis of hidden blood loss and its influential factors in myomectomy

et al. 2020

View full text Add to dashboard Cite

Objective This study was performed to quantify hidden blood loss (HBL) and explore its influential factors in myomectomy. Methods Two hundred nine patients who underwent myomectomy by laparotomy or laparoscopy from 1 January 2017 to 31 December 2018 were analyzed. Each patient’s estimated blood volume and total blood loss (TBL) were calculated by the Nadler formula and Gross formula, respectively. The HBL was calculated by subtracting the visible blood loss (VBL) from the TBL. A multivariate linear stepwise analysis was applied to identify the influential factors of HBL in myomectomy. Results The mean perioperative VBL and estimated TBL during myomectomy were 137.81 ±104.43 and 492.24 ± 225.00 mL, respectively. The mean HBL was 354.39 ± 177.69 mL, which accounted for 71.52% ± 15.75% of the TBL and was two to three times higher than the VBL. The duration of surgery, number of removed leiomyomas, and location of removed leiomyomas were independent risk factors for HBL in myomectomy. Conclusions HBL accounted for a significant percentage of TBL in myomectomy. A full understanding of the HBL in perioperative blood management may improve patients’ postoperative rehabilitation.

show abstract

“…However, there are concerns about hidden BL. Hidden BL is a concept that was developed in orthopedic surgery, but it is also relevant in gynecological surgery 10‐13 . Several estimation formulas have been established to predict BL in orthopedic surgery, and the difference between the estimated BL and the BL on the operative record is termed hidden BL.…”

Section: Introductionmentioning

confidence: 99%

“…Hidden BL is a concept that was developed in orthopedic surgery, but it is also relevant in gynecological surgery. [10][11][12][13] Several estimation formulas have been established to predict BL…”

mentioning

confidence: 99%

Blood loss in laparoscopic distal pancreatectomy could be underestimated

Okui

Furukawa

Taniai

et al. 2023

J Hepato Biliary Pancreat

View full text Add to dashboard Cite

The development of laparoscopic pancreatectomy has been slow because of the difficulty of the procedure, but progress has recently been made. In particular, distal pancreatectomy (DP), laparoscopic surgery is becoming the standard. [1][2][3][4] Two randomized controlled trials comparing laparoscopic DP (LDP) and ODP (ODP) have shown that blood loss (BL) is lower in LDP than in ODP. 5,6 Several reports have also indicated that BL is lower in laparoscopic than open surgery in other organs. [7][8][9] However, there are concerns about hidden BL. Hidden BL is a concept that was developed in orthopedic surgery, but it is also relevant in gynecological surgery. [10][11][12][13] Several estimation formulas have been established to predict BL

show abstract

Hidden blood loss and its risk factors in patients undergoing laparoscopy and laparotomy for cervical cancer management

Cited by 7 publications

References 24 publications

Risk factor analysis and establishment of a nomogram model to predict blood loss during total knee arthroplasty

Risk factor analysis and establishment of a nomogram model to predict blood loss during total knee arthroplasty

Analysis of hidden blood loss and its influential factors in myomectomy

Blood loss in laparoscopic distal pancreatectomy could be underestimated

Contact Info

Product

Resources

About