Publication:
Surgical Technology International XX - Orthopaedic Surgery
Article title:
Hemostasis in Anterior Supine Intermuscular Total Hip Arthroplasty: Pilot Study Comparing Standard Electrocautery and a Bipolar Sealer
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Author(s)
Michael J. Morris, MD
Fellow, Adult Reconstruction
Keith R. Berend, MD
Associate
Adolph V. Lombardi, Jr., MD, FACS
President and Senior Associate
Joint Implant Surgeons, Inc.
New Albany, Ohio
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.
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