DOI: https://doi.org/10.22263/2312-4156.2024.5.48
A.V. Volk1, A.V. Marochkov2, A.V. Lapin1, M.L. Kaplan1, D.V. Klimova1
Blood loss volume assessment in different types of surgical interventions on the abdominal aorta
1Gomel University Clinic – Regional Hospital for Disabled Veterans of the Great Patriotic War, Gomel, Republic of Belarus
2Mogilev Regional Clinical Hospital, Mogilev, Republic of Belarus
Vestnik VGMU. 2024;23(5):48-55.
Abstract.
Objectives. To determine the volume of intraoperative blood loss, using the hemoglobin balance method in patients with atherosclerotic lesions of the aorta and its branches during different types of surgeries. Taking into account the increasing number of patients with atherosclerosis of the great vessels, as well as the increasing number of reconstructive operations on the aorta and its branches, timely assessment of blood loss is relevant, as it all allows reducing risks and complications in the intraoperative and postoperative periods.
Material and methods. A retrospective study was conducted to determine the volume of intraoperative blood loss in 39 patients who underwent endarterectomy from the aorta and reconstructive intervention on the aorta and its branches in 2022 using the hemoglobin balance method.
Results. Circulating blood volume (CBV) was calculated using the Nadler formula. In the study group, Me (CBV) was 4989 ml (4611;5456). Me blood loss in the study group was 1170 ml or 23% of the total volume. All surgical interventions were divided into three groups based on the reconstructive intervention volume, the duration of the surgical intervention and the amount of blood loss. The largest volume of blood loss was in group I, Me 1510 (902;2146) ml; in group II Me 882 (409;1170) ml; in group III Me 1035 (701;1341) ml. The surgery duration in group I was Me 270 (225;335) minutes, in group II Me 225 (160;245) minutes, in group III Me 190 (160;280) minutes. Statistical significance was revealed when comparing groups I and II using the Mann-Whitney-U test (p<0.05). Spearman’s correlation between blood loss (ml) and operative time (min) revealed a moderate positive relationship (r=0.67).
Conclusions. The data obtained in patients operated on for the abdominal aorta pathology help to predict the volume of intraoperative blood loss and to plan infusion and transfusion therapy in the operative and postoperative periods.
Keywords: aorta, abdominal aorta, aorto-femoral bypass, blood loss, hemoglobin balance method.
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Submitted 04.06.2024
Accepted 18.10.2024
Information about authors:
A.V. Volk – anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Gomel University Clinic – Regional Hospital for Disabled Veterans of the Great Patriotic War,
e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Angelina V. Volk;
A.V. Marochkov – Doctor of Medical Sciences, professor, anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Mogilev Regional Clinical Hospital;
A.V. Lapin – Head of the anesthesiology and reanimation department, Regional Hospital for Disabled Veterans of the Great Patriotic War;
M.L. Kaplan – Candidate of Medical Sciences, vascular surgeon of the vascular surgery department, Gomel University Clinic – Regional Hospital for Disabled Veterans of the Great Patriotic War;
D.V. Klimova – anesthesiologist-resuscitator of the anesthesiology and resuscitation department, Regional Hospital for Disabled Veterans of the Great Patriotic War.
