Evidence map›Paper›PMID 39719898›Full record

ArticleJoint diseases and related surgery2025

Hidden blood loss and risk factors in percutaneous endoscopic cervical discectomy.

Fei Wang, Yun Yang

Abstract read
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Article in Joint diseases and related surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Fei Wang
Yun YangDepartment of Orthopaedics, The Third People's Hospital of Chengdu, Chengdu, China. xgz123yy@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study aimed to evaluate the hidden blood loss (HBL) and its possible risk factors in patients undergoing percutaneous endoscopic cervical discectomy (PECD) via posterior approach to better guide the management of perioperative anemia in patients. PATIENTS AND

methodsThe study retrospectively analyzed the clinical data of 60 patients (33 males, 27 females; mean age: 55.3±7.9 years; range, 40 to 69 years) treated with PECD between March 2019 and January 2023. All patients had cervical disc herniation or radiculopathy. General information (age, sex, height, weight, body mass index, Visual Analog Scale pain score, and comorbidities), surgery-related data (surgical time, number of surgical segments, American Society of Anesthesiologists score, and blood transfusions), and laboratory-related results (hemoglobin, hematocrit, albumin, and blood glucose) of the patients were collected from the hospital database. The patients' HBL was calculated based on the patients' height, weight, and hematocrit levels, and then the risk factors were analyzed by multiple linear regression.

resultsOnly five patients underwent two-segment PECD via a single channel. The mean surgical time and HBL were 110.3±34.0 min and 114.5±50.2 mL, respectively. Six patients who were not anemic preoperatively developed anemia postoperatively, and the difference in the incidence of anemia between preoperative and postoperative periods was statistically significant (p=0.013). Multiple linear regression analysis showed that HBL was associated with surgical time and the number of surgical segments (p<0.001).

conclusionHidden blood loss after PECD may represent a significant issue, with a risk of causing anemia. The number of surgical segments and surgical time are independent risk factors for HBL. Spine surgeons should emphasize the adverse effects of HBL to ensure the safety of patients in the perioperative period.

Indexed as

Blood Loss, SurgicalCervical VertebraeDiskectomy, PercutaneousIntervertebral Disc DisplacementAdultAgedAnemiaEndoscopyFemaleHumansMaleMiddle AgedOperative TimeRadiculopathyRetrospective StudiesRisk Factors

Identifiers

PMID39719898
PMCPMC11734842

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