The purpose of this study was to assess (1) whether or not cardiopulmonary bypass surgery would decrease platelet secretory ADP, (2) whether or not patients with severe valvular disease have a decrease in platelet secretory ADP, and (3) whether or not such a decrease in secretory ADP is associated with surgical bleeding. Total and releasable platelet ADP and ATP were measured by the luciferase ...

BACKGROUND In 2008, the authors' institution adopted a policy requiring that all patients, regardless of preoperative risk, receive both sequential compression devices and a single preoperative subcutaneous 5000 unit injection of heparin. A previously published 12-year review at this same institution before this policy demonstrated a 1.5% 30-day postoperative incidence of hematoma in primary au...

What we have to know? Digestive ulcer especially during a stay in intensive care (stress ulcer), rupture from direct arterial or venous trauma and delayed rupture from a previously existing pseudoaneurysm are the major causes of postoperative bleedings. Posthepatectomy hemorrhage has been classified by the International Study Group of Liver Surgery [1,2]. After hepatic transplantation, bleeding...

BACKGROUND AND OBJECTIVES In our clinical experience, there seemed to be a correlation between cervical stump bleeding and adenomyosis. Therefore, we wanted to conduct a study to determine whether there was an actual correlation and to identify other risk factors for persistent bleeding after a laparoscopic supracervical hysterectomy. METHODS The study included women who underwent laparoscopi...

OBJECTIVE To evaluate the risk of postoperative bleeding and reintervention with the use of systemic steroids in patients undergoing tonsillectomy. DESIGN Systematic review and meta-analysis of randomised controlled trials. DATA SOURCES Medline, Embase, Cochrane Library, Scopus, Web of Science, Intute, Biosis, OpenSIGLE, National Technical Information Service, and Google Scholar were search...

BACKGROUND Guidelines recommend discontinuing clopidogrel for at least 5 days before elective coronary artery bypass graft surgery (CABG) to limit blood transfusions and for at least 24 hours before urgent CABG to reduce major bleeding complications. Studies have produced conflicting results regarding whether recent exposure to clopidogrel increases bleeding, the need for intraoperative and pos...

Blood transfusion rates in coronary artery bypass grafting (CABG) surgery using cardiopulmonary bypass (CPB) are typically higher compared with off-pump CABG (OPCAB). However, few studies have specifically examined intraoperative hemodilution as a contributing factor. The aim of this retrospective review was to compare the effect of using CPB or OPCAB on red blood cell (RBC) transfusion and pos...

PURPOSE To investigate the effects of placement of the absorbable packing material Nasopore at the anastomosis site of newly formed mucosal flaps on postoperative re-bleeding, discomfort, and on the success rate of dacryocystorhinostomy (DCR). METHODS A review of the medical records of patients with primary acquired nasolacrimal duct obstruction that underwent external or endonasal DCR by a s...

Background Hemorrhoidectomy is one of the most common procedures performed in anorectal surgery. Regardless of the method of surgical ablation of hemorrhoids it carries the risk of troublesome complications. Postoperative pain, urinary retention, infection, anal stenosis and bleeding are the most common. Delayed postoperative bleeding after hemorrhoidectomy has a reported incidence of 0.9 10%. ...

The aim of this study is to compare objectively advantages and disadvantages of cold technique tonsillectomy and thermal welding tonsillectomy at the same case. A total of 100 patients, 53 patients younger than 12 years of age and 47 patients elder than 12 years of age, were included in this study. Tonsillectomy was performed by using cold technique on the right side of the palatine tonsils and...