Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations

Bleeding in spine surgery is a common occurrence but when bleeding is uncontrolled the consequences can be severe due to the potential for spinal cord compression and damage to the central nervous system. There are many factors that influence bleeding during spine surgery including patient factors a...

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Main Authors: J.C. Le Huec, S. AlEissa, A.J. Bowey, B. Debono, A. El-Shawarbi, N. Fernández-Baillo, K.S. Han, A. Martin-Benlloch, R. Pflugmacher, P. Sabatier, D. Vanni, I. Walker, T. Warren, S. Litrico
Format: Article
Language:English
Published: Korean Spinal Neurosurgery Society 2022-03-01
Series:Neurospine
Subjects:
Online Access:http://www.e-neurospine.org/upload/pdf/ns-2143196-598.pdf
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author J.C. Le Huec
S. AlEissa
A.J. Bowey
B. Debono
A. El-Shawarbi
N. Fernández-Baillo
K.S. Han
A. Martin-Benlloch
R. Pflugmacher
P. Sabatier
D. Vanni
I. Walker
T. Warren
S. Litrico
author_facet J.C. Le Huec
S. AlEissa
A.J. Bowey
B. Debono
A. El-Shawarbi
N. Fernández-Baillo
K.S. Han
A. Martin-Benlloch
R. Pflugmacher
P. Sabatier
D. Vanni
I. Walker
T. Warren
S. Litrico
author_sort J.C. Le Huec
collection DOAJ
description Bleeding in spine surgery is a common occurrence but when bleeding is uncontrolled the consequences can be severe due to the potential for spinal cord compression and damage to the central nervous system. There are many factors that influence bleeding during spine surgery including patient factors and those related to the type of surgery and the surgical approach to bleeding. There are a range of methods that can be employed to both reduce the risk of bleeding and achieve hemostasis, one of which is the adjunct use of hemostatic agents. Hemostatic agents are available in a variety of forms and materials and with considerable variation in cost, but specific evidence to support their use in spine surgery is sparse. A literature review was conducted to identify the pre-, peri-, and postsurgical considerations around bleeding in spine surgery. The review generated a set of recommendations that were discussed and ratified by a wider expert group of spine surgeons. The results are intended to provide a practical guide to the selection of hemostats for specific bleeding situations that may be encountered in spine surgery.
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spelling doaj.art-171ce400215946d9be1330d3736996cb2024-02-02T18:30:31ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912022-03-0119111210.14245/ns.2143196.5981246Hemostats in Spine Surgery: Literature Review and Expert Panel RecommendationsJ.C. Le Huec0S. AlEissa1A.J. Bowey2B. Debono3A. El-Shawarbi4N. Fernández-Baillo5K.S. Han6A. Martin-Benlloch7R. Pflugmacher8P. Sabatier9D. Vanni10I. Walker11T. Warren12S. Litrico13 Spine Unit, Polyclinique Bordeaux Nord Aquitaine, Bordeaux, France King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia Department of Orthopaedic Spinal Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK Paris-Versailles Spine Center (Centre Francilien du Dos), Ramsay Santé - Hôpital Privé de Versailles, Versailles, France Burjeel Hospital, Abu Dhabi, UAE Spine Unit, Department of Orthopedic Surgery, Hospital Universitario La Paz, Madrid, Spain Department of Neurosurgery, University Medical Center Utrecht, Utrecht, The Netherlands Department of Orthopaedic Surgery, Hospital Clinico Universitario de Valencia, Valencia, Spain Department of Orthopaedics and Trauma Surgery, University Hospital Bonn, Germany Department of Neurosurgery, Clinique des Cèdres, Cornebarrieu, France G-spine 4, Spine Surgery Division, I.R.C.C.S. Istituto Ortopedico Galeazzi, Milan, Italy Triducive Partners Limited, Hertfordshire, UK Triducive Partners Limited, Hertfordshire, UK Department of Spine Surgery, Pasteur II Hospital, Centre Hospitalo-Universitaire de Nice, Nice, FranceBleeding in spine surgery is a common occurrence but when bleeding is uncontrolled the consequences can be severe due to the potential for spinal cord compression and damage to the central nervous system. There are many factors that influence bleeding during spine surgery including patient factors and those related to the type of surgery and the surgical approach to bleeding. There are a range of methods that can be employed to both reduce the risk of bleeding and achieve hemostasis, one of which is the adjunct use of hemostatic agents. Hemostatic agents are available in a variety of forms and materials and with considerable variation in cost, but specific evidence to support their use in spine surgery is sparse. A literature review was conducted to identify the pre-, peri-, and postsurgical considerations around bleeding in spine surgery. The review generated a set of recommendations that were discussed and ratified by a wider expert group of spine surgeons. The results are intended to provide a practical guide to the selection of hemostats for specific bleeding situations that may be encountered in spine surgery.http://www.e-neurospine.org/upload/pdf/ns-2143196-598.pdfspine surgeryhemostasishemostatics/therapeutic uselumbar vertebraecervical vertebraeblood loss
spellingShingle J.C. Le Huec
S. AlEissa
A.J. Bowey
B. Debono
A. El-Shawarbi
N. Fernández-Baillo
K.S. Han
A. Martin-Benlloch
R. Pflugmacher
P. Sabatier
D. Vanni
I. Walker
T. Warren
S. Litrico
Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations
Neurospine
spine surgery
hemostasis
hemostatics/therapeutic use
lumbar vertebrae
cervical vertebrae
blood loss
title Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations
title_full Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations
title_fullStr Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations
title_full_unstemmed Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations
title_short Hemostats in Spine Surgery: Literature Review and Expert Panel Recommendations
title_sort hemostats in spine surgery literature review and expert panel recommendations
topic spine surgery
hemostasis
hemostatics/therapeutic use
lumbar vertebrae
cervical vertebrae
blood loss
url http://www.e-neurospine.org/upload/pdf/ns-2143196-598.pdf
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