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Bipolar sealer not superior to standard electrocautery in primary total hip arthroplasty: a meta-analysis.

Yang Y, Zhang LC, Xu F, Li J, Lv YM - J Orthop Surg Res (2014)

Bottom Line: Five studies were included, with a total sample size of 559 patients.The use of bipolar sealer did not significantly reduce intraoperative blood loss, hemoglobin drop, hospital stay, and operative time.The use of bipolar sealer is not recommended in primary THA.

View Article: PubMed Central - PubMed

Affiliation: Orthopedic Department, The Affiliated Hospital of Chengde Medical College, Chengde 067700, People's Republic of China. yangyangchengde@gmail.com.

ABSTRACT

Introduction: To assess whether bipolar sealer has advantages over standard electrocautery in primary total hip arthroplasty (THA).

Methods: All studies published through November 2013 were systematically searched in PubMed, Embase, ScienceDirect, The Cochrane Library, and other databases. Relevant journals or conference proceedings were searched manually. Only randomized controlled trials were included. Two independent reviewers identified and assessed the literature. Mean difference in blood loss and risk ratios of transfusion rates and of complication rates in the bipolar sealer group versus the standard electrocautery group were calculated. The meta-analysis was conducted using RevMan 5.1 software.

Results: Five studies were included, with a total sample size of 559 patients. The use of bipolar sealer did not significantly reduce intraoperative blood loss, hemoglobin drop, hospital stay, and operative time. There were no significant differences in need for transfusion and the incidence of infection between the study groups.

Conclusion: The available evidence suggests that the use of bipolar sealer was not superior to standard electrocautery in patients undergoing primary THA. The use of bipolar sealer is not recommended in primary THA.

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Related in: MedlinePlus

Flowchart of the study selection.
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Fig1: Flowchart of the study selection.

Mentions: We conducted a meta-analysis to identify academic articles from electronic databases, including MEDLINE (1966 to November 2013), Embase (1980 to November 2013), and The Cochrane Central Register of Controlled Trials. There were no language restrictions. The search strategy is presented in Figure 1. It included only studies conducted on human subjects. In addition, using the Google search engine, the same search terms were manually searched to find any further relevant studies that may have been missed in the database search. We used the following key words: “hip replacement OR arthroplasty” and “bipolar sealer” in combination with Boolean operators AND or OR.Figure 1


Bipolar sealer not superior to standard electrocautery in primary total hip arthroplasty: a meta-analysis.

Yang Y, Zhang LC, Xu F, Li J, Lv YM - J Orthop Surg Res (2014)

Flowchart of the study selection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4197253&req=5

Fig1: Flowchart of the study selection.
Mentions: We conducted a meta-analysis to identify academic articles from electronic databases, including MEDLINE (1966 to November 2013), Embase (1980 to November 2013), and The Cochrane Central Register of Controlled Trials. There were no language restrictions. The search strategy is presented in Figure 1. It included only studies conducted on human subjects. In addition, using the Google search engine, the same search terms were manually searched to find any further relevant studies that may have been missed in the database search. We used the following key words: “hip replacement OR arthroplasty” and “bipolar sealer” in combination with Boolean operators AND or OR.Figure 1

Bottom Line: Five studies were included, with a total sample size of 559 patients.The use of bipolar sealer did not significantly reduce intraoperative blood loss, hemoglobin drop, hospital stay, and operative time.The use of bipolar sealer is not recommended in primary THA.

View Article: PubMed Central - PubMed

Affiliation: Orthopedic Department, The Affiliated Hospital of Chengde Medical College, Chengde 067700, People's Republic of China. yangyangchengde@gmail.com.

ABSTRACT

Introduction: To assess whether bipolar sealer has advantages over standard electrocautery in primary total hip arthroplasty (THA).

Methods: All studies published through November 2013 were systematically searched in PubMed, Embase, ScienceDirect, The Cochrane Library, and other databases. Relevant journals or conference proceedings were searched manually. Only randomized controlled trials were included. Two independent reviewers identified and assessed the literature. Mean difference in blood loss and risk ratios of transfusion rates and of complication rates in the bipolar sealer group versus the standard electrocautery group were calculated. The meta-analysis was conducted using RevMan 5.1 software.

Results: Five studies were included, with a total sample size of 559 patients. The use of bipolar sealer did not significantly reduce intraoperative blood loss, hemoglobin drop, hospital stay, and operative time. There were no significant differences in need for transfusion and the incidence of infection between the study groups.

Conclusion: The available evidence suggests that the use of bipolar sealer was not superior to standard electrocautery in patients undergoing primary THA. The use of bipolar sealer is not recommended in primary THA.

Show MeSH
Related in: MedlinePlus