Key result
Complete anterior abdominal wall decompression is associated with ~60% less intraoperative blood loss.
Why the study?
Risk factors for increased blood loss during surgical correction of idiopathic scoliosis were analyzed to improve prevention strategies.
Does complete decompression of the anterior abdominal wall reduce intraoperative blood loss in patients undergoing surgery for idiopathic scoliosis?
Observational (n=395)
Does complete decompression of the anterior abdominal wall reduce intraoperative blood loss in patients undergoing surgery for idiopathic scoliosis?
Complete decompression of the anterior abdominal wall during posterior instrumental correction for idiopathic scoliosis significantly reduces intraoperative blood loss and the need for blood transfusion.
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Risk factors for excess blood loss in scoliosis surgery may inform perioperative planning; leaves open prospective validation before practice change.
Mn et al. (2017) conducted an observational in idiopathic scoliosis (n=395). Complete decompression of the anterior abdominal wall vs. Incomplete decompression of the anterior abdominal wall was evaluated on Intraoperative blood loss and need for blood transfusion. Complete decompression of the anterior abdominal wall during posterior instrumental correction reduced intraoperative blood loss volume by 60% and avoided blood transfusion in 75.9% of patients.
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