Document Detail


Does desmopressin reduce bleeding in liver surgery? An experimental study on pigs.
MedLine Citation:
PMID:  10218138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The main problem with liver surgery is to control intraoperative bleeding. Bleeding together with postoperative infection and liver failure are the most common causes of postoperative morbidity and mortality in liver surgery. Hospitals with experience of liver resection, report postoperative mortality rates of 3.2%-14.3%. Improved results in liver surgery have been made by refinement of surgical methods and modern techniques. Desmopressin acetate (Octostim) reduces bleeding time by activating platelets and increasing the level of coagulation factor VIII. The purpose with this study was to see if desmopressin could reduce bleeding in a standardized experimental liver resection. Sixteen Swedish domestic pigs were randomized to receive desmopressin 0.3 ug/kg i.v. or placebo, and underwent liver resection with conventional finger fracture technique. The intraoperative blood loss was estimated by several parameters such as pre and postoperative haemoglobin values and by weighing the number of gauze swabs used. One week postoperatively new haemoglobin samples were taken and the pigs were killed. At autopsy the resection area was inspected. All sixteen pigs survived the operation and the postoperative week. There was no significant difference in blood loss between the desmopressin and placebo group. In conclusion, our study showed that desmopressin did not reduce intraoperative bleeding in experimental liver resection.
Authors:
C Walther; M Hermansson; T Zilling
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  In vivo (Athens, Greece)     Volume:  13     ISSN:  0258-851X     ISO Abbreviation:  In Vivo     Publication Date:    1999 Jan-Feb
Date Detail:
Created Date:  1999-06-28     Completed Date:  1999-06-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8806809     Medline TA:  In Vivo     Country:  GREECE    
Other Details:
Languages:  eng     Pagination:  83-5     Citation Subset:  IM    
Affiliation:
Department of Surgery, Lund University Hospital, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Loss, Surgical / prevention & control*
Deamino Arginine Vasopressin / pharmacology*
Female
Hemostatics / pharmacology*
Liver / surgery*
Male
Swine
Chemical
Reg. No./Substance:
0/Hemostatics; 16679-58-6/Deamino Arginine Vasopressin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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