O42: THE ROLE OF TOURNIQUETS IN TRANSTIBIAL AMPUTATION FOR PERIPHERAL VASCULAR DISEASE: A SYSTEMATIC REVIEW & META-ANALYSIS
نویسندگان
چکیده
Abstract Introduction The use of lower limb tourniquets is traditionally discouraged in severe atherosclerotic disease. However, blood loss and increased transfusion requirements are associated with post-operative morbidity patients undergoing major amputation. aim this systematic review to summarise pool the available data determine impact tourniquet application when performing trans-tibial amputation for peripheral vascular Method This was conducted according PRISMA guidelines. A search Medline, Embase Cochrane Library undertaken articles which compared a versus no main outcomes included intra-operative loss, requirement, need revision surgery 30-day mortality. Result Four studies met inclusion criteria quantitative analysis total 267 patients. used 130 Both groups were matched age, gender, co-morbidities pre-operative haemoglobin. In amputation, significantly (Mean difference= -147.6mls; P=0.03) (pooled odds ratio (OR), 0.12, p=0.03). stump (OR, 0.7; p=0.48), proceeding transfemoral within 30 days 0.67; p=0.25) mortality 0.65; p=0.41) all favoured but differences not found be significant. Conclusion Tourniquets can reduce without increasing ischaemic complications surgery. Take-home message safe disease complications.
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2021
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znab117.042