Intra-Aortic Balloon Occlusion Decreases Blood Loss During Open Reduction and Internal Fixation for Delayed Acetabular Fractures: A Retrospective Study of 43 Patients.
Autor: Kong, Lingzhi; Yu, Yaling; Li, Fujian; Cui, Haomin
Publication year: 2020
Journal of investigative surgery : the official journal of the Academy of Surgical Research
issn:1521-0553 0894-1939
doi: 10.1080/08941939.2018.1516837
Abstract:
Aim: It is difficult to treat delayed acetabular fractures due to massive blood loss during operation. Temporary balloon occlusion of the abdominal aorta was introduced into sacral tumor surgery to reduce intraoperative hemorrhage. The aim of this study was to investigate the effect of this method on reduction of intraoperative blood loss and analyze the complications of this technique in the treatment of delayed acetabular fracture. Methods: We retrospectively reviewed 43 patients with delayed acetabular fracture who were surgically treated through combined approaches. Nineteen patients underwent temporary balloon occlusion of the abdominal aorta; 10 patients had type B fracture and 9 patients had type C fracture according to the Müller AO classification. The remaining 24 patients were classified into a control group; 14 patients had type B fracture and 10 patients had type C fracture. Surgical time, intraoperative blood loss, blood transfusion, satisfactory reduction rate, and functional recovery were recorded and compared between two groups. Merle d’Aubigné and Postel scoring was applied to evaluate the patients. Results: The patients treated with intra-aortic balloon occlusion had a shorter surgical time (p = 0.008), less intraoperative blood loss (p = 0.005), and less transfused blood units (p = 0.001). No complications caused by balloon occlusion. No significant difference were observed in the outcomes and the complications related to acetabular fractures between two groups. Conclusions: Temporary balloon occlusion of the abdominal aorta is a reliable technique to control bleeding for the surgery of delayed acetabular fracture.
Language: eng
Rights:
Pmid: 30395741
Tags: Humans; Reproducibility of Results; Female; Male; Adult; Middle Aged; Retrospective Studies; Young Adult; Treatment Outcome; Operative Time; Blood Transfusion/statistics & numerical data; hemorrhage; Aorta, Abdominal; abdominal aorta; Acetabulum/*injuries/surgery; balloon occlusion; Balloon Occlusion/adverse effects/*methods; Blood Loss, Surgical/*prevention & control; Fracture Fixation, Internal/*adverse effects; Fractures, Bone/*surgery; old acetabular fracture; Open Fracture Reduction/*adverse effects; operational technique
Link: https://pubmed.ncbi.nlm.nih.gov/30395741/
