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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: 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.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

Forest plot showing the effect of bipolar sealer on intraoperative blood loss.
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Fig6: Forest plot showing the effect of bipolar sealer on intraoperative blood loss.

Mentions: The incidence of infection was reported in two studies [17,19]. The pooled results indicated that the incidence of infection was 1.04% of hips (1/96) in the bipolar sealer group, compared with 3.19% (3/94) in the conventional group. This difference was significant (RR =0.42, 95% CI: 0.06 to 2.77, P =0.37; Figure 6). A fixed-effects model was used because no statistical heterogeneity was found between the studies (χ2 = 0.05, df =1, I2 = 0%, P =0.83).Figure 6


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)

Forest plot showing the effect of bipolar sealer on intraoperative blood loss.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Fig6: Forest plot showing the effect of bipolar sealer on intraoperative blood loss.
Mentions: The incidence of infection was reported in two studies [17,19]. The pooled results indicated that the incidence of infection was 1.04% of hips (1/96) in the bipolar sealer group, compared with 3.19% (3/94) in the conventional group. This difference was significant (RR =0.42, 95% CI: 0.06 to 2.77, P =0.37; Figure 6). A fixed-effects model was used because no statistical heterogeneity was found between the studies (χ2 = 0.05, df =1, I2 = 0%, P =0.83).Figure 6

Bottom Line: 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.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