Application of tourniquet in amputation for lower limb gangrene
10.3969/j.issn.1006-9771.2024.05.009
- VernacularTitle:止血带在下肢坏疽截肢术中的应用
- Author:
Gang TIAN
1
;
Haoyuan ZHANG
1
;
Jiajia SONG
2
;
Peng TANG
1
;
Hongwei MIN
1
;
Rui GU
1
;
Kemin LIU
1
Author Information
1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
2. Department of Prosthetics and Orthotics, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
- Publication Type:Journal Article
- Keywords:
lower limb gangrene;
amputation;
tourniquet
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(5):560-564
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the efficacy and safety of using a tourniquet in amputation for lower limb gangrene. MethodsAll patients underwent amputation for lower limb gangrene from January, 2009 to June, 2023 in Beijing Bo'ai Hospital were reviewed, involving 41 patients with a total of 44 limbs, and they were divided into non-tourniquet group (n = 28) and tourniquet group (n = 16) according to whether a tourniquet was used during surgery. The amputation field clearness, surgical bleeding, incision healing, reoperation rate within 30 days post-operation, intraoperative blood pressure and heart rate, and operation time were compared. ResultsThe amputation field was clearer in the tourniquet group (χ2 = 42.385, P < 0.001), with less bleeding (Z = -2.082, P < 0.05). No tourniquet-related local damages, such as nerve damage and skin injuries, was observed in the limbs using tourniquets. The incidence of grade A of incision healing was not significantly different (χ2 = 0.028, P = 0.624). ConclusionApplication of tourniquet can improve the amputation field clearness and reduce bleeding during amputation for lower limb gangrene, without affecting incision healing.
