Tranexamic acid combined with compression dressing reduces blood loss in gluteal muscle contracture surgery, according to the recent study published in the BMC Surgery.
Blood loss and incision-related complications caused by the surgical procedure to release gluteal muscle contracture (GMC) put negative effects on the surgical outcomes. Current procedures to prevent blood loss and complications are not satisfactory. The current study aimed to determine whether tranexamic acid (TXA) in combination with pressure dressing reduce the amount of blood loss, the rate of incision-related complications, and the rate of readmission for patients undergoing surgeries to release GMC.
49 GMC patients were finally included in the study and were randomly divided into two groups: study group and control group. Patients in both groups received minimally invasive surgery to release GMC except that in the study group, patients were administered a dosage of 20 mg/kg of intravenous TXA preoperatively, and 2 subsequent dosages of TXA at 10 mg/kg at two-time points: 3 and 6 h after the first dose. Gauze soaked with TXA was used to pack the wound for 10 min before the incision closure. Then the wound was pressure-wrapped with a hip-spica bandage for 24 h after the surgery in the study group.
The results of the study are as follows:
The level of UBL in the study group was significantly lower compared to that in the control group. Similar results were also found for UMHD and UMAD. The incision-related postoperative complications were greatly decreased in the study group compared to those of the control group as well. So was the 30-day readmission rate. All patients in both groups reached Tranexamic acid combined with compression dressing reduces blood loss in gluteal muscle contracture surgeryTranexamic acid combined with compression dressing reduces blood loss in gluteal muscle contracture surgery"excellent" or "good" levels with respect to the postoperative function evaluation.
Thus, the researchers concluded that intravenous and topical application of TXA combined with 24 h pressure hip-spica bandage reduces perioperative blood loss, rate of incision-related complications, and the rate of readmission for GMC patients undergoing the minimally invasive surgical releasing procedure.
Reference:
Tranexamic acid combined with compression dressing reduces blood loss in gluteal muscle contracture surgery by Jun Ma, et al. published in the BMC Surgery.
https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-022-01497-z