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Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review

Background: Tourniquets have become an inseparable part of many different types of intricate and major surgeries, including amputation. Tourniquets create a bloodless environment, which is thought to facilitate surgery and reduce time, potential errors and subsequent complications. Objectives: To in...

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Main Author: Eldurssi, Omar
Other Authors: Kloppers, Jacobus Christo
Format: Thesis
Language:English
Published: Division of General Surgery 2023
Subjects:
Tourniquet
blood loss
revision
amputation
lower limb
pain
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access_status_str Open Access
author Eldurssi, Omar
author2 Kloppers, Jacobus Christo
author_browse Eldurssi, Omar
Kloppers, Jacobus Christo
author_facet Kloppers, Jacobus Christo
Eldurssi, Omar
author_sort Eldurssi, Omar
collection Thesis
description Background: Tourniquets have become an inseparable part of many different types of intricate and major surgeries, including amputation. Tourniquets create a bloodless environment, which is thought to facilitate surgery and reduce time, potential errors and subsequent complications. Objectives: To investigate the effectiveness of using a pneumatic tourniquet as an adjunct in lower limbs amputation in peripheral arterial disease to reduce blood loss and requirement for blood transfusions. Stump revision rate, complication and mortality will be assessed as secondary objectives. Method: For this systematic review, a search was performed using the keywords phrases, “peripheral arterial disease”, “lower limb amputation” and “tourniquet” in PubMed, Medline, Embase and Google scholar. Results: Based on univariate analysis, to determine the relationship between risk factors and blood loss, the study demonstrated the use of tourniquet significantly reduces the amount of blood loss during lower limb amputation (LLA), F (21.01), P=0.044. An independent t -test, demonstrated that there was a statistically significant difference in mean blood loss between tourniquet and non-tourniquet studies, (T=-2.588, P=0.049). In this review the mean blood loss was 251.67±2.89 and 462.5±137.69ml for tourniquet and non-tourniquet studies respectively. Conclusion: Using a tourniquet is a technically feasible approach to LLA, and effectively reduces the amount of blood loss and requirements of blood transfusion. No change in revision rates were noted.
format Thesis
id oai:open.uct.ac.za:11427/37175
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:34:36.552Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Division of General Surgery
publisherStr Division of General Surgery
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/37175 Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review Eldurssi, Omar Kloppers, Jacobus Christo Tourniquet blood loss revision amputation lower limb pain Background: Tourniquets have become an inseparable part of many different types of intricate and major surgeries, including amputation. Tourniquets create a bloodless environment, which is thought to facilitate surgery and reduce time, potential errors and subsequent complications. Objectives: To investigate the effectiveness of using a pneumatic tourniquet as an adjunct in lower limbs amputation in peripheral arterial disease to reduce blood loss and requirement for blood transfusions. Stump revision rate, complication and mortality will be assessed as secondary objectives. Method: For this systematic review, a search was performed using the keywords phrases, “peripheral arterial disease”, “lower limb amputation” and “tourniquet” in PubMed, Medline, Embase and Google scholar. Results: Based on univariate analysis, to determine the relationship between risk factors and blood loss, the study demonstrated the use of tourniquet significantly reduces the amount of blood loss during lower limb amputation (LLA), F (21.01), P=0.044. An independent t -test, demonstrated that there was a statistically significant difference in mean blood loss between tourniquet and non-tourniquet studies, (T=-2.588, P=0.049). In this review the mean blood loss was 251.67±2.89 and 462.5±137.69ml for tourniquet and non-tourniquet studies respectively. Conclusion: Using a tourniquet is a technically feasible approach to LLA, and effectively reduces the amount of blood loss and requirements of blood transfusion. No change in revision rates were noted. 2023-03-03T09:02:03Z 2023-03-03T09:02:03Z 2022 2023-02-20T12:43:48Z Master Thesis Masters MMed http://hdl.handle.net/11427/37175 eng application/pdf Division of General Surgery Faculty of Health Sciences
spellingShingle Tourniquet
blood loss
revision
amputation
lower limb
pain
Eldurssi, Omar
Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review
thesis_degree_str Master's
title Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review
title_full Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review
title_fullStr Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review
title_full_unstemmed Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review
title_short Use of a tourniquet in lower limb amputations: Evaluating blood loss in peripheral arterial disease patients A systematic review
title_sort use of a tourniquet in lower limb amputations evaluating blood loss in peripheral arterial disease patients a systematic review
topic Tourniquet
blood loss
revision
amputation
lower limb
pain
url http://hdl.handle.net/11427/37175
work_keys_str_mv AT eldurssiomar useofatourniquetinlowerlimbamputationsevaluatingbloodlossinperipheralarterialdiseasepatientsasystematicreview

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