Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion
PurposeIn this study, we aimed to assess the occurrence of hidden blood loss (HBL) and its associated risk factors in patients with lumbar degenerative diseases who underwent percutaneous endoscopic transforaminal lumbar interbody fusion (Endo-TLIF).MethodsSex, age, height, weight, body mass index,...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1490038/full |
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| author | Meng Ge Meng Ge Fangbing Zhu Fangbing Zhu Weibin Du Weibin Du Zhengcong Ye Zhengcong Ye Zhenfei Xiong Zhenfei Xiong Lukai Zhang Lukai Zhang Hua Zhou Hua Zhou Jun Yang Jun Yang |
| author_facet | Meng Ge Meng Ge Fangbing Zhu Fangbing Zhu Weibin Du Weibin Du Zhengcong Ye Zhengcong Ye Zhenfei Xiong Zhenfei Xiong Lukai Zhang Lukai Zhang Hua Zhou Hua Zhou Jun Yang Jun Yang |
| author_sort | Meng Ge |
| collection | DOAJ |
| description | PurposeIn this study, we aimed to assess the occurrence of hidden blood loss (HBL) and its associated risk factors in patients with lumbar degenerative diseases who underwent percutaneous endoscopic transforaminal lumbar interbody fusion (Endo-TLIF).MethodsSex, age, height, weight, body mass index, and medical history including hypertension, diabetes, and osteoporosis were recorded. The duration of symptoms, preoperative lumbar subcutaneous fat tissue thickness (measured using midsagittal T2-weighted magnetic resonance imaging), lumbar disc degeneration grade, and other basic patient information were also documented. The levels of fibrinogen, activated partial thromboplastin time, prothrombin time, thrombin time, and platelet count as well as the pre- and postoperative hematocrit and hemoglobin levels were collected. In addition, the number of fusion levels, surgical time, and intraoperative blood loss were recorded. Total blood loss (TBL) was calculated using the gross formula, and HBL was calculated based on the TBL and visible blood loss. The risk factors were analyzed using single-factor correlation and multivariate linear regression analyses.ResultsOf the 83 patients, there were 42 males and 41 females. Hypertension (P = 0.003), fusion level (P < 0.001), and surgery time (P < 0.001) were significantly correlated with HBL via a single-factor correlation analysis. Multiple linear regression analysis showed that the fusion level (P < 0.001) and surgery time (P < 0.001) were independent risk factors for HBL.ConclusionIn patients with lumbar degenerative diseases treated with Endo-TLIF, HBL accounts for a large proportion of TBL. A large number of fusion segments and prolonged operation time are risk factors for increased perioperative HBL during Endo-TLIF. Increased attention should be paid to the presence of HBL to ensure the safety of perioperative patients. |
| format | Article |
| id | doaj-art-a3b574d6e95b49068cc1c79aa11aed80 |
| institution | Kabale University |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-a3b574d6e95b49068cc1c79aa11aed802025-01-15T06:10:36ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-01-011210.3389/fsurg.2025.14900381490038Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusionMeng Ge0Meng Ge1Fangbing Zhu2Fangbing Zhu3Weibin Du4Weibin Du5Zhengcong Ye6Zhengcong Ye7Zhenfei Xiong8Zhenfei Xiong9Lukai Zhang10Lukai Zhang11Hua Zhou12Hua Zhou13Jun Yang14Jun Yang15Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaResearch Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaHangzhou Xiaoshan Hospital of Traditional Chinese Medicine, Hangzhou, ChinaPurposeIn this study, we aimed to assess the occurrence of hidden blood loss (HBL) and its associated risk factors in patients with lumbar degenerative diseases who underwent percutaneous endoscopic transforaminal lumbar interbody fusion (Endo-TLIF).MethodsSex, age, height, weight, body mass index, and medical history including hypertension, diabetes, and osteoporosis were recorded. The duration of symptoms, preoperative lumbar subcutaneous fat tissue thickness (measured using midsagittal T2-weighted magnetic resonance imaging), lumbar disc degeneration grade, and other basic patient information were also documented. The levels of fibrinogen, activated partial thromboplastin time, prothrombin time, thrombin time, and platelet count as well as the pre- and postoperative hematocrit and hemoglobin levels were collected. In addition, the number of fusion levels, surgical time, and intraoperative blood loss were recorded. Total blood loss (TBL) was calculated using the gross formula, and HBL was calculated based on the TBL and visible blood loss. The risk factors were analyzed using single-factor correlation and multivariate linear regression analyses.ResultsOf the 83 patients, there were 42 males and 41 females. Hypertension (P = 0.003), fusion level (P < 0.001), and surgery time (P < 0.001) were significantly correlated with HBL via a single-factor correlation analysis. Multiple linear regression analysis showed that the fusion level (P < 0.001) and surgery time (P < 0.001) were independent risk factors for HBL.ConclusionIn patients with lumbar degenerative diseases treated with Endo-TLIF, HBL accounts for a large proportion of TBL. A large number of fusion segments and prolonged operation time are risk factors for increased perioperative HBL during Endo-TLIF. Increased attention should be paid to the presence of HBL to ensure the safety of perioperative patients.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1490038/fullpercutaneous endoscopic transforaminal lumbar interbody fusionhidden blood lossminimally invasive spine surgerylumbar degenerative diseasesrisk factors |
| spellingShingle | Meng Ge Meng Ge Fangbing Zhu Fangbing Zhu Weibin Du Weibin Du Zhengcong Ye Zhengcong Ye Zhenfei Xiong Zhenfei Xiong Lukai Zhang Lukai Zhang Hua Zhou Hua Zhou Jun Yang Jun Yang Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion Frontiers in Surgery percutaneous endoscopic transforaminal lumbar interbody fusion hidden blood loss minimally invasive spine surgery lumbar degenerative diseases risk factors |
| title | Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion |
| title_full | Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion |
| title_fullStr | Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion |
| title_full_unstemmed | Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion |
| title_short | Hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion |
| title_sort | hidden blood loss and risk factors after percutaneous endoscopic transforaminal lumbar interbody fusion |
| topic | percutaneous endoscopic transforaminal lumbar interbody fusion hidden blood loss minimally invasive spine surgery lumbar degenerative diseases risk factors |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1490038/full |
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