Clinical application of narrow elastic disposable tourniquet in liposuction reduction for lower limb lymphedema
10.13481/j.1671-587X.20240324
- VernacularTitle:驱血止血弹性束紧套环在下肢淋巴吸脂减容术中的临床应用
- Author:
Yuan GAO
1
;
Xiaorong QU
;
Hongwei ZHENG
;
Wenbing SHEN
;
Kun HAO
;
Lei GUAN
Author Information
1. 首都医科大学附属北京世纪坛医院麻醉科,北京 100038
- Keywords:
Narrow elastic disposable tourniquet;
Lymphedema;
Liposuction reduction;
Adverse reaction;
Intraoperative bleeding
- From:
Journal of Jilin University(Medicine Edition)
2024;50(3):791-796
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the application effect of narrow elastic disposable tourniquet in liposuction reduction surgery for the lower extremity lymphedema,and to provide the basis for its clinical application.Methods:The retrospective analysis was conducted on the clinical data of 309 patients who underwent liposuction reduction surgery for the lower extremity lymphedema.The patients were divided into non-narrow elastic disposable tourniquet group(n=163)and narrow elastic disposable tourniquet group(n=146).The intraoperative blood loss,rates of allogenic blood transfusion,incidence of adverse reactions related to dilation fluid into blood,incidence of blood pressure fluctuations,and preoperative and postoperative 24 h levels of hemoglobin(Hb)and albumin(Alb)of the patients in two groups were compared.Results:Compared with non-narrow elastic disposable tourniquet group,the intraoperative blood loss,allogenic blood transfusion rate,and incidence of adverse reactions related to dilation fluid into blood of the patients in narrow elastic disposable tourniquet group were decreased(P<0.05),while the incidence of intraoperative blood pressure fluctuations was increased(P<0.05).Compared with non-narrow elastic disposable tourniquet group,the ΔHb level(preoperative Hb level-postoperative 24 h Hb level)and ΔAlb level(preoperative Alb level-postoperative 24 h Alb level)of the patients in narrow elastic disposable tourniquet group were decreased(P<0.05 or P<0.01).Conclusion:The application of narrow elastic disposable tourniquet in liposuction reduction surgery for the lower extremity lymphedema can effectively reduce the intraoperative bleeding and the need for allogenic transfusions,decrease the level of ΔAlb,and prevent the occurrence of adverse reactions related to dilation fluid into blood.However,attention should be given to the potential adverse reactions related to intraoperative circulatory fluctuations.
