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Larger vs. smaller diameter suction drains to prevent postop spinal epidural hematoma
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Larger vs. smaller diameter suction drains to prevent postop spinal epidural hematoma .
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Can We Prevent a Postoperative Spinal Epidural Hematoma by Using Larger Diameter Suction Drains?

Clin Orthop Surg. 2016 Mar;8(1):78-83
Contributing Authors

DK Ahn JH Kim BK Chang JI Lee

77 patients with epidural hematoma were randomized to undergo posterior lumbar decompression and instrumented fusion with either a large diameter suction drain or a small diameter suction drain. The object of this study was to determine if a larger diameter suction drain would reduce the amount of postoperative epidural hematoma. Findings indicated no significant differences between drain sizes with regards to the size of remaining hematomas measured by the degree of thecal sac compression. Additionally, there were no differences in prothrombin time, activated partial thromboplastin time, platelet number blood loss, or operation duration. However, platelet function analysis was significantly shorter in duration in the larger diameter group compared to the shorter diameter group.

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OrthoEvidence. Larger vs. smaller diameter suction drains to prevent postop spinal epidural hematoma. ACE Report. 2016;5(7):31. Available from: https://myorthoevidence.com/AceReport/Show/larger-vs-smaller-diameter-suction-drains-to-prevent-postop-spinal-epidural-hematoma

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