Risk factors for perioperative blood loss during limb salvage pelvic tumour resections

• Main Authors: Sharifudin, Mohd Ariff, Wan Ismail, Wan Faisham Numan, Wan, Zulmi, Mat Zin, Nor Azman, Mohamed Amir, Nawaz Hussain, Mohamed Amin, Mohamed Azril, Goh, Kian Liang
• Format: Conference or Workshop Item
• Language: English; English; English
• Published: 2013
• Subjects: RB Pathology; RC0254 Neoplasms. Tumors. Oncology (including Cancer); RD701 Orthopedics
• Online Access: http://irep.iium.edu.my/30521/1/MOA_2013_%28ORAL%29_-_EBL_Pelvic_Surgery.pdf; http://irep.iium.edu.my/30521/2/MOA_2014_Conference_Book.pdf; http://irep.iium.edu.my/30521/20/MOA_2014_Conference_Book_-_Free_Paper_Session_%284.42-4.48pm%29.pdf; http://irep.iium.edu.my/30521/; http://www.morthoj.org

Introduction: Extensive bleeding has been reported during pelvic tumour resections. Various blood management options in orthopaedic surgery have been well established but with limited used particularly for pelvic tumour resections. Thus, it is essential to identify predictive factors for a large amount of blood loss during surgery. Methodology: We retrospectively reviewed 41 patients underwent pelvic tumour resections performed between 2000 and 2010. Perioperative blood loss consisted of estimated intra-operative blood loss and the drainage volume on the first day after surgery. Blood loss of more than 3000ml was classified as large amount of blood loss. Results: Seventeen (41.46%) patients had total blood loss greater than 3000ml. Factors associated with large amount of blood loss include location of tumour, tumour recurrence and operation time. Extensive blood loss was not associated with neo-adjuvant therapies and pre-operative embolization. Conclusion: Resections of pelvic tumours with theses associations were likely to have a large amount of blood loss perioperatively.