Efficiency of local application of tranexamic acid during augmentative mammoplasty
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 1
Abstract
Surgical patients are often at risk of bleeding, which in some cases may even require blood components transfusion. In addition, bleeding provokes the hematoma development, which remains a rather common complication in surgery. Despite the fact that specialists apply postoperative blood pressure monitoring, compression therapy and drainage to prevent the development of such complications, hematomas are marked in plastic surgery at 1 — 15 %. The aim — to increase the augmentation mammoplasty surgery effectiveness by reducing perioperative and postoperative blood loss with tranexamic acid topical use. Materials and methods. 29 women to whom the augmentation mammoplasty was performed for the breast shape restoration, were supervised in the period from 2015 to 2018. Patients were divided into 2 groups. In the first group (n = 10) 10 ml of tranexamic acid were additionally introduced into the implant pocket for haemostasis, in the second group (n = 19) tranexamic acid was not used. Results and discussion. All patients completed the inpatient treatment according to the plan and were discharged on the second and third day after surgery. At control of the drainage fluid, the haemorrhagic and seroushaemorrhagic exudate was obtained from 25 to 90 ml per day after the intervention. The volume of the exudate decreased in the first group more rapidly. Conclusions. The tranexamic acid local application allows to reduce the amount of blood loss in the postoperative period, the duration of the drainage systems functioning and, accordingly, reduce the complications risk associated with the presence of drainage and contrapertures.
Authors and Affiliations
S. V. Sliesarenko, P. A. Badiul, N. Yu. Fursenko
Keywords
Related Articles
- EP ID EP564679
- DOI 10.30978/SU2019-1-63
- Views 122
- Downloads 0
Superficial temporal artery based flaps for reconstruction of postburn scar facial defects
The facial tissues restoration for cicatricial defects after burns and injuries is one of the complex problems of reconstructive surgery. Preformed flaps are not widely used because of the complicated application, freque...
Pulmonary sequestration in children. Postnatal course, diagnosis and surgical treatment
The aim — to optimize the diagnostic and treatment of pulmonary sequestration in children on the basis of clinical and diagnostic data and treatment results study. Materials and methods. The study included 14 patients ag...
Perforation of Meckel’s diverticulum by foreign body. Case study
Meckel’s diverticulum is a congenital anomaly of the gastrointestinal tract, which occurs in 2 to 4 % of the individuals in the general population. There is no gender difference in the frequency of detection, although th...
Laparoscopic retro-muscular abdominal wall repair with posterior component separation And self-tacking Parietene Progrip mesh for the diastasis rectus abdominis. the first experience
Retromuscular repair of large postoperative ventral hernias and diastasis rectus abdominis may improve the results of these procedures compared to IPOM, and therefore becomes more and more popular last time. A 33-year-ol...
New reconstructive surgery for radical surgical treatment of colon non-tumorous diseases
The aim — to develop new methods of reconstructive operations after radical surgery of colon nonneoplastic diseases in patients with atypical small intestine and superior mesenteric artery anatomy, as well as atypical a...