Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?

Introduction: Pelvic tumour resections are complex and associated with extensive bleeding. Despite various blood management options in orthopaedic surgery, their used are limited particularly for pelvic tumour resections. Identifying predictive factors for a large amount of blood loss during surge...

Full description

Bibliographic Details
Main Authors:	Sharifudin, Mohd Ariff, Wan Ismail, Wan Faisham Numan, Wan, Zulmi, Mat Zin, Nor Azman, Mohamed Amir, Nawaz Hussain, Mohamed Amin, Mohamed Azril, Goh, Kian Liang
Format:	Conference or Workshop Item
Language:	English English English English
Published:	2013
Subjects:	RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/30356/ http://irep.iium.edu.my/30356/6/06_-_ICMHS_2013_-_Compilation_of_Abstracts_%28please_refer_to_page_105%29.pdf http://irep.iium.edu.my/30356/1/01_-_ICMHS_2013_%28SLIDE_PRESENTATION%29_-_Bleeding_in_Pelvic_Surgery.pdf http://irep.iium.edu.my/30356/2/02_-_ICMHS_2013_-_Letter_of_Acceptance.pdf http://irep.iium.edu.my/30356/5/05_-_ICMHS_2013__-_Conference_Book_%28pg_61%29.pdf

id	iium-30356
recordtype	eprints
spelling	iium-303562013-09-06T08:44:52Z http://irep.iium.edu.my/30356/ Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far? Sharifudin, Mohd Ariff Wan Ismail, Wan Faisham Numan Wan, Zulmi Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain Mohamed Amin, Mohamed Azril Goh, Kian Liang RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Introduction: Pelvic tumour resections are complex and associated with extensive bleeding. Despite various blood management options in orthopaedic surgery, their used are limited particularly for pelvic tumour resections. Identifying predictive factors for a large amount of blood loss during surgery is essential. Objective: To evaluate the volume of blood loss in limb salvage pelvic resections and identify the risk factors for large amount of perioperative blood loss. Methodology: We retrospectively reviewed 25 patients underwent pelvic tumour resections performed between 2000 and 2010 in a single institution. Tumours originating from the sacrum were excluded. Total blood volume loss consisted of estimated intra-operative blood loss and the drainage volume on the first day after surgery. Loss of more than 3000ml of blood was classified as large amount of blood loss. Statistical analysis performed using Fisher’s exact test. Results: Six (24.0%) patients had total blood loss greater than 3000ml. Resections of primary bone sarcomas (osteosarcoma and chondrosarcoma) have the highest mean blood loss volume (6556.67ml and 1768.57ml, respectively). Most important factor associated with large amount of blood loss is the involvement of the acetabulum. Neo-adjuvant therapies and pre-operative embolization were not shown to be associated with extensive blood loss.. Conclusion: Resections of pelvic tumours involving the acetabular region are likely to have a large amount of blood loss perioperatively and should be anticipated. Radiation therapy prior to surgery was believed to increase the risk of bleeding intra-operatively, was not observed in this study. 2013-05-22 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/30356/6/06_-_ICMHS_2013_-_Compilation_of_Abstracts_%28please_refer_to_page_105%29.pdf application/pdf en http://irep.iium.edu.my/30356/1/01_-_ICMHS_2013_%28SLIDE_PRESENTATION%29_-_Bleeding_in_Pelvic_Surgery.pdf application/pdf en http://irep.iium.edu.my/30356/2/02_-_ICMHS_2013_-_Letter_of_Acceptance.pdf application/pdf en http://irep.iium.edu.my/30356/5/05_-_ICMHS_2013__-_Conference_Book_%28pg_61%29.pdf Sharifudin, Mohd Ariff and Wan Ismail, Wan Faisham Numan and Wan, Zulmi and Mat Zin, Nor Azman and Mohamed Amir, Nawaz Hussain and Mohamed Amin, Mohamed Azril and Goh, Kian Liang (2013) Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far? In: International Conference on Medical & Health Sciences (ICMHS), 22-24 May 2013, Renaissance Hotel, Kota Bharu, Kelantan.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English English
topic	RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics
spellingShingle	RB Pathology RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics Sharifudin, Mohd Ariff Wan Ismail, Wan Faisham Numan Wan, Zulmi Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain Mohamed Amin, Mohamed Azril Goh, Kian Liang Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
description	Introduction: Pelvic tumour resections are complex and associated with extensive bleeding. Despite various blood management options in orthopaedic surgery, their used are limited particularly for pelvic tumour resections. Identifying predictive factors for a large amount of blood loss during surgery is essential. Objective: To evaluate the volume of blood loss in limb salvage pelvic resections and identify the risk factors for large amount of perioperative blood loss. Methodology: We retrospectively reviewed 25 patients underwent pelvic tumour resections performed between 2000 and 2010 in a single institution. Tumours originating from the sacrum were excluded. Total blood volume loss consisted of estimated intra-operative blood loss and the drainage volume on the first day after surgery. Loss of more than 3000ml of blood was classified as large amount of blood loss. Statistical analysis performed using Fisher’s exact test. Results: Six (24.0%) patients had total blood loss greater than 3000ml. Resections of primary bone sarcomas (osteosarcoma and chondrosarcoma) have the highest mean blood loss volume (6556.67ml and 1768.57ml, respectively). Most important factor associated with large amount of blood loss is the involvement of the acetabulum. Neo-adjuvant therapies and pre-operative embolization were not shown to be associated with extensive blood loss.. Conclusion: Resections of pelvic tumours involving the acetabular region are likely to have a large amount of blood loss perioperatively and should be anticipated. Radiation therapy prior to surgery was believed to increase the risk of bleeding intra-operatively, was not observed in this study.
format	Conference or Workshop Item
author	Sharifudin, Mohd Ariff Wan Ismail, Wan Faisham Numan Wan, Zulmi Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain Mohamed Amin, Mohamed Azril Goh, Kian Liang
author_facet	Sharifudin, Mohd Ariff Wan Ismail, Wan Faisham Numan Wan, Zulmi Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain Mohamed Amin, Mohamed Azril Goh, Kian Liang
author_sort	Sharifudin, Mohd Ariff
title	Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
title_short	Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
title_full	Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
title_fullStr	Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
title_full_unstemmed	Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
title_sort	evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?
publishDate	2013
url	http://irep.iium.edu.my/30356/ http://irep.iium.edu.my/30356/6/06_-_ICMHS_2013_-_Compilation_of_Abstracts_%28please_refer_to_page_105%29.pdf http://irep.iium.edu.my/30356/1/01_-_ICMHS_2013_%28SLIDE_PRESENTATION%29_-_Bleeding_in_Pelvic_Surgery.pdf http://irep.iium.edu.my/30356/2/02_-_ICMHS_2013_-_Letter_of_Acceptance.pdf http://irep.iium.edu.my/30356/5/05_-_ICMHS_2013__-_Conference_Book_%28pg_61%29.pdf
first_indexed	2023-09-18T20:44:30Z
last_indexed	2023-09-18T20:44:30Z
_version_	1777409584235806720

Evaluation of blood loss during internal (limb-salvage) hemipelvectomy for pelvic tumours : what have we learned so far?

Similar Items