Morris Michael J, Berend Keith R, Lombardi Adolph V
Joint Implant Surgeons, Inc., New Albany, Ohio, USA.
Surg Technol Int. 2010 Oct;20:352-6.
Previous studies have demonstrated that using a bipolar sealer device for hemostasis in hip and knee arthroplasty results in a decreased blood loss and transfusion requirement. The anterior supine intermuscular total hip arthroplasty is a minimally invasive approach with a faster initial recovery compared with more traditional hip replacement surgery. A retrospective consecutive series of 100 anterior supine total hip arthroplasties performed by one surgeon was reviewed. In the first 50 cases, traditional electrocautery was used. In the second 50 cases, a bipolar sealer device was used. No significant differences with operative times, intraoperative blood loss, postoperative hemoglobin levels, and length of hospitalization were demonstrated between the two groups. There was a lower rate of intraoperative and postoperative transfusions in the bipolar sealer group.
先前的研究表明，在髋关节和膝关节置换术中使用双极密封装置进行止血可减少失血量和输血需求。与更传统的髋关节置换手术相比，仰卧位前路肌间隙全髋关节置换术是一种微创手术方法，初始恢复更快。回顾了由一名外科医生进行的100例仰卧位前路全髋关节置换术的回顾性连续系列病例。在前50例病例中，使用传统电灼术。在后50例病例中，使用双极密封装置。两组在手术时间、术中失血量、术后血红蛋白水平和住院时间方面均无显著差异。双极密封装置组术中及术后输血率较低。
