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    How to Reduce Blood Loss in THA

    Juan C. Suarez, MD, and his colleagues at Cleveland Clinic Florida have been active in researching blood conservation strategies to reduce blood loss associated with total hip arthroplasty (THA).

    • A paper published in 2015, for example, found that use of a bipolar sealer reduced surgical blood loss and the need for post-surgical transfusions. [1] This prospective, randomized, double-blinded trial included 118 patients undergoing THA by the direct anterior approach.
    • A paper published a year later compared direct anterior hip THA with and without the use of closed suction drainage. The authors found no advantage – or disadvantage either – to using the device when the patient also received tranexamic acid to control blood loss and aspirin to prevent venous thromboembolism. [2] They saw no difference between groups in transfusion rates, postoperative decrease in hemoglobin levels, average calculated blood loss, complications, or length of hospital.

    Click the image above to hear Dr. Suarez comment on blood conservation in direct anterior approach THA patients.

    Producer and Director: Michael Bugera; Post Production: Charles J. Maynard

    References

    1. Suarez JC, Slotkin EM, Szubski CR, Barsoum WK, Patel PD. Prospective, randomized trial to evaluate efficacy of a bipolar sealer in direct anterior approach total hip arthroplasty. J Arthroplasty. 2015 Nov;30(11):1953-8.
    2. Suarez JC, McNamara CA, Barksdale LC, Calvo C, Szubski CR, Patel PD. Closed suction drainage has no benefits in anterior hip arthroplasty: a prospective, randomized trial. J Arthroplasty. 2016; 31(9):1954–8.