Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims
The OBJECTIVE was to evaluate the informative value of various methods for determining the volume of blood loss during early surgical excision with simultaneous skin grafting with split grafts in patients with full thickness burns.MATERIAL AND METHODS. Our study included 10 patients with burns more...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2021-11-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1732 |
| _version_ | 1797877499694153728 |
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| author | E. V. Zinoviev D. O. Vagner A. E. Chukharev |
| author_facet | E. V. Zinoviev D. O. Vagner A. E. Chukharev |
| author_sort | E. V. Zinoviev |
| collection | DOAJ |
| description | The OBJECTIVE was to evaluate the informative value of various methods for determining the volume of blood loss during early surgical excision with simultaneous skin grafting with split grafts in patients with full thickness burns.MATERIAL AND METHODS. Our study included 10 patients with burns more than 20 % TBSA. In these patients, from the 2nd to the 5th day after the burn, fascial surgical excision with simultaneous skin grafting with perforated split grafts was performed. To assess the volume of operative blood loss, we used visual, empirical (B. S. Vikhriev; 1986, I. V. Chmyrev; 2011, T. A. Housinger; 1993, T. Janezic; 1997) and calculated (J. B. Gross; 1983, P. G. Budny; 1993, G. D. Warden; 1982) methods. The obtained data were processed by the generally accepted methods of nonparametric statistics.RESULTS. The minimum volume of blood loss was ascertained by visual assessment. We observed the maximum losses in the same patients when using calculated methods. In 5 out of 10 patients, the difference between the minimum and maximum results obtained using different methods exceeded 1000 %.CONCLUSION. Most of the methods used in burn surgery for determining the volume of surgical blood loss are insufficiently representative. To determine the optimal tactics for surgical treatment of patients with severe burns, it is necessary to create formulas for assessing the volume of blood loss, which will take into account laboratory parameters, features of surgical treatment, hydrobalance indicators, anthropometric data and other variables with high predictive value. |
| first_indexed | 2024-04-10T02:19:13Z |
| format | Article |
| id | doaj.art-1d472ba876a94505a9f00f63b2bf1cd1 |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:19:13Z |
| publishDate | 2021-11-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-1d472ba876a94505a9f00f63b2bf1cd12023-03-13T08:09:19ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-11-011803414710.24884/0042-4625-2021-180-3-41-471286Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victimsE. V. Zinoviev0D. O. Vagner1A. E. Chukharev2Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I.I. Dzanelidze research institute of emergency medicine; North-Western State Medical University named after I. I. MechnikovSaint-Petersburg I.I. Dzanelidze research institute of emergency medicine; North-Western State Medical University named after I. I. MechnikovThe OBJECTIVE was to evaluate the informative value of various methods for determining the volume of blood loss during early surgical excision with simultaneous skin grafting with split grafts in patients with full thickness burns.MATERIAL AND METHODS. Our study included 10 patients with burns more than 20 % TBSA. In these patients, from the 2nd to the 5th day after the burn, fascial surgical excision with simultaneous skin grafting with perforated split grafts was performed. To assess the volume of operative blood loss, we used visual, empirical (B. S. Vikhriev; 1986, I. V. Chmyrev; 2011, T. A. Housinger; 1993, T. Janezic; 1997) and calculated (J. B. Gross; 1983, P. G. Budny; 1993, G. D. Warden; 1982) methods. The obtained data were processed by the generally accepted methods of nonparametric statistics.RESULTS. The minimum volume of blood loss was ascertained by visual assessment. We observed the maximum losses in the same patients when using calculated methods. In 5 out of 10 patients, the difference between the minimum and maximum results obtained using different methods exceeded 1000 %.CONCLUSION. Most of the methods used in burn surgery for determining the volume of surgical blood loss are insufficiently representative. To determine the optimal tactics for surgical treatment of patients with severe burns, it is necessary to create formulas for assessing the volume of blood loss, which will take into account laboratory parameters, features of surgical treatment, hydrobalance indicators, anthropometric data and other variables with high predictive value.https://www.vestnik-grekova.ru/jour/article/view/1732burnsburn diseasebleedingvolume of blood lossexcisionskin graftinghemodilution |
| spellingShingle | E. V. Zinoviev D. O. Vagner A. E. Chukharev Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims Вестник хирургии имени И.И. Грекова burns burn disease bleeding volume of blood loss excision skin grafting hemodilution |
| title | Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims |
| title_full | Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims |
| title_fullStr | Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims |
| title_full_unstemmed | Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims |
| title_short | Comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims |
| title_sort | comparative evaluation of the informative value of methods for determining the volume of intraoperative blood loss in the surgical treatment of burn victims |
| topic | burns burn disease bleeding volume of blood loss excision skin grafting hemodilution |
| url | https://www.vestnik-grekova.ru/jour/article/view/1732 |
| work_keys_str_mv | AT evzinoviev comparativeevaluationoftheinformativevalueofmethodsfordeterminingthevolumeofintraoperativebloodlossinthesurgicaltreatmentofburnvictims AT dovagner comparativeevaluationoftheinformativevalueofmethodsfordeterminingthevolumeofintraoperativebloodlossinthesurgicaltreatmentofburnvictims AT aechukharev comparativeevaluationoftheinformativevalueofmethodsfordeterminingthevolumeofintraoperativebloodlossinthesurgicaltreatmentofburnvictims |