Wound Drainage With or Without Blood Salvage? An Open, Prospective, Randomized and Single-Center Comparison of Blood Loss, Postoperative Hemoglobin Levels and Allogeneic Blood Transfusions After Major Hip Surgery

Robert Slappendel, MD, PhD; Wieger Horstmann, MD; Ris Dirksen, MD, PhD; Gijs G. Van Hellemondt, MD


Transfusion Alter Transfusion Med. 2008;10(4):174-181. 

In This Article


The present study found no difference in blood loss but higher values in postoperative hemoglobin values at day 1 among the patients treated with the Bellovac ABT drainage system as compared with the Medinorm AG drainage system. Differences at the other time points were not statistically significant but were higher in the Bellovac ABT group. In addition, the Bellovac ABT system offers a possibility of transfusion of postoperatively salvaged blood that may decrease the need for allogeneic blood transfusion. This must, however, be verified in future clinical studies. No relevant differences were found in the adverse events reported for the two drainage systems. In summary, the use of a low-vacuum wound drainage system that offers autologous blood salvage is recommended. In summary, the use of a low-vacuum wound drainage system is safe to use, but further investigations must be done to evaluate efficacy in revision hip surgery.

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