Hany F Sallam1, Nahla W Shady1. 1. Department of Obstetrics and Gynecology, Faculty of Medicine, Aswan University, Aswan, Egypt.
Abstract
OBJECTIVES: To assess the effect of intravenous versus topical tranexamic acid in reducing intraoperative and postoperative blood loss in women with abdominal hysterectomy. MATERIALS AND METHODS: The study was a randomized double-blind placebo-controlled trial, carried out in a tertiary university hospital in Egypt, from November 2015 to October 2017. A total of 129 women undergoing abdominal hysterectomy for benign etiology were randomly assigned to three groups: Group I [43 patients received 110 ml normal saline IV just before skin in scion], Group II [43 patients received 1 g tranexamic acid in 100 ml saline IV just before skin in scion], and Group III [43 patients received 2 g topical tranexamic acid applied intra-abdominal after hysterectomy]. The primary outcome was intraoperative, postoperative, and all blood loss estimation. RESULTS: Both Group II (IV tranexamic acid) and Group III (topical tranexamic acid application) showed great reduction in intraoperative and postoperative blood loss (blood in the intra-abdominal drain) compared with Group I (placebo group), (P = 0.0001, 0.0001, 0.0001, 0.0001), so the overall estimated blood loss in groups II and III showed highly reduction compared with Group I (P = 0.0001, 0.0001). CONCLUSION: Intravenous and topical tranexamic acid application is a safe and reliable method to help decrease blood loss during and after abdominal hysterectomy.
OBJECTIVES: To assess the effect of intravenous versus topical tranexamic acid in reducing intraoperative and postoperative blood loss in women with abdominal hysterectomy. MATERIALS AND METHODS: The study was a randomized double-blind placebo-controlled trial, carried out in a tertiary university hospital in Egypt, from November 2015 to October 2017. A total of 129 women undergoing abdominal hysterectomy for benign etiology were randomly assigned to three groups: Group I [43 patients received 110 ml normal saline IV just before skin in scion], Group II [43 patients received 1 g tranexamic acid in 100 ml saline IV just before skin in scion], and Group III [43 patients received 2 g topical tranexamic acid applied intra-abdominal after hysterectomy]. The primary outcome was intraoperative, postoperative, and all blood loss estimation. RESULTS: Both Group II (IV tranexamic acid) and Group III (topical tranexamic acid application) showed great reduction in intraoperative and postoperative blood loss (blood in the intra-abdominal drain) compared with Group I (placebo group), (P = 0.0001, 0.0001, 0.0001, 0.0001), so the overall estimated blood loss in groups II and III showed highly reduction compared with Group I (P = 0.0001, 0.0001). CONCLUSION: Intravenous and topical tranexamic acid application is a safe and reliable method to help decrease blood loss during and after abdominal hysterectomy.
Authors: David A Henry; Paul A Carless; Annette J Moxey; Dianne O'Connell; Barrie J Stokes; Dean A Fergusson; Katharine Ker Journal: Cochrane Database Syst Rev Date: 2011-01-19
Authors: Charlotte T Hansen; Charlotte Møller; Signe Daugbjerg; Jan Utzon; Henrik Kehlet; Bent Ottesen Journal: Acta Obstet Gynecol Scand Date: 2008 Impact factor: 3.636
Authors: Ahmed Abu-Zaid; Saeed Baradwan; Ehab Badghish; Rayan AlSghan; Ahmed Ghazi; Bayan Albouq; Khalid Khadawardi; Nora F AlNaim; Latifa F AlNaim; Meshael Fodaneel; Fatimah Shakir AbuAlsaud; Mohammed Ziad Jamjoom; Abdullah Ama Almubarki; Saud Owaimer Alsehaimi; Safa Alabdrabalamir; Osama Alomar; Ismail A Al-Badawi; Hany Salem Journal: Obstet Gynecol Sci Date: 2022-07-28