title: Hemostasis in anterior supine intermuscular total hip arthroplasty: pilot study comparing standard electrocautery and a bipolar sealer.
abstract: Previous studies have demonstrated that using a bipolar sealer device for hemostasis in hip and knee arthroplasty results in a decreased blood loss and transfusion requirement. The anterior supine intermuscular total hip arthroplasty is a minimally invasive approach with a faster initial recovery compared with more traditional hip replacement surgery. A retrospective consecutive series of 100 anterior supine total hip arthroplasties performed by one surgeon was reviewed. In the first 50 cases, traditional electrocautery was used. In the second 50 cases, a bipolar sealer device was used. No significant differences with operative times, intraoperative blood loss, postoperative hemoglobin levels, and length of hospitalization were demonstrated between the two groups. There was a lower rate of intraoperative and postoperative transfusions in the bipolar sealer group.
authors.affiliation: Joint Implant Surgeons, Inc., New Albany, Ohio, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Morris
authors.forename: Keith R
authors.initials: KR
authors.lastname: Berend
authors.forename: Adolph V
authors.initials: AV
authors.lastname: Lombardi
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004564:Electrocoagulation / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016896:Treatment Outcome