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Postoperative hemorrhage

MedGen UID:
18591
•Concept ID:
C0032788
•
Pathologic Function
Synonyms: Blood Loss, Postoperative; Hemorrhage, Postoperative; Hemorrhages, Postoperative; Loss, Postoperative Blood; Postoperative Blood Loss; Postoperative Hemorrhage; Postoperative Hemorrhages
SNOMED CT: Postoperative hemorrhage (110265006); Postoperative bleeding (110265006); Hemorrhage postprocedure (110265006)

Definition

Bleeding occurring after completion of a surgical procedure, which may occur immediately or may be delayed, and which may or may not be wound related. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPostoperative hemorrhage

Professional guidelines

PubMed

Delayed Postoperative Hemorrhage Complicating Major Supramesocolic Surgery Management and Outcomes.
Devant E, Girard E, Abba J, Ghelfi J, Sage PY, Sengel C, Risse O, Bricault I, Trilling B, Chirica M
World J Surg 2021 Aug;45(8):2432-2438. Epub 2021 Apr 17 doi: 10.1007/s00268-021-06116-1. PMID: 33866425
Management of dental extractions in patients on warfarin and antiplatelet therapy.
Lu SY, Lin LH, Hsue SS
J Formos Med Assoc 2018 Nov;117(11):979-986. Epub 2018 Sep 5 doi: 10.1016/j.jfma.2018.08.019. PMID: 30195969
Management of acute postoperative hemorrhage in the bariatric patient.
Ferreira LE, Song LM, Baron TH
Gastrointest Endosc Clin N Am 2011 Apr;21(2):287-94. doi: 10.1016/j.giec.2011.02.002. PMID: 21569980

Recent clinical studies

Etiology

Adult tonsillectomy: An evaluation of indications and complications.
Patel SD, Daher GS, Engle L, Zhu J, Slonimsky G
Am J Otolaryngol 2022 May-Jun;43(3):103403. Epub 2022 Feb 17 doi: 10.1016/j.amjoto.2022.103403. PMID: 35210109
Post-Tonsillectomy Bleeding: A National Perspective.
Dhaduk N, Rodgers A, Govindan A, Kalyoussef E
Ann Otol Rhinol Laryngol 2021 Aug;130(8):941-947. Epub 2021 Jan 13 doi: 10.1177/0003489420987438. PMID: 33435723
Postoperative Tonsillectomy Hemorrhage.
Wall JJ, Tay KY
Emerg Med Clin North Am 2018 May;36(2):415-426. Epub 2018 Feb 10 doi: 10.1016/j.emc.2017.12.009. PMID: 29622331
Perioperative management of anticoagulant and antiplatelet therapy.
Tafur A, Douketis J
Heart 2018 Sep;104(17):1461-1467. Epub 2017 Dec 7 doi: 10.1136/heartjnl-2016-310581. PMID: 29217632
Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition.
Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, Neoptolemos JP, Padbury RT, Sarr MG, Yeo CJ, Büchler MW
Surgery 2007 Jul;142(1):20-5. doi: 10.1016/j.surg.2007.02.001. PMID: 17629996

Diagnosis

Ear, Nose, Throat: Beyond Pharyngitis: Retropharyngeal Abscess, Peritonsillar Abscess, Epiglottitis, Bacterial Tracheitis, and Postoperative Tonsillectomy.
Akhavan M
Emerg Med Clin North Am 2021 Aug;39(3):661-675. Epub 2021 Jun 9 doi: 10.1016/j.emc.2021.04.012. PMID: 34215408
Regional Anesthesia in the Patient Receiving Antithrombotic or Thrombolytic Therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines (Fourth Edition).
Horlocker TT, Vandermeuelen E, Kopp SL, Gogarten W, Leffert LR, Benzon HT
Reg Anesth Pain Med 2018 Apr;43(3):263-309. doi: 10.1097/AAP.0000000000000763. PMID: 29561531
Point-of-Care Coagulation Testing in Cardiac Surgery.
Bolliger D, Tanaka KA
Semin Thromb Hemost 2017 Jun;43(4):386-396. Epub 2017 Mar 30 doi: 10.1055/s-0037-1599153. PMID: 28359133
Universal definition of perioperative bleeding in adult cardiac surgery.
Dyke C, Aronson S, Dietrich W, Hofmann A, Karkouti K, Levi M, Murphy GJ, Sellke FW, Shore-Lesserson L, von Heymann C, Ranucci M
J Thorac Cardiovasc Surg 2014 May;147(5):1458-1463.e1. Epub 2013 Dec 9 doi: 10.1016/j.jtcvs.2013.10.070. PMID: 24332097
Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition.
Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, Neoptolemos JP, Padbury RT, Sarr MG, Yeo CJ, Büchler MW
Surgery 2007 Jul;142(1):20-5. doi: 10.1016/j.surg.2007.02.001. PMID: 17629996

Therapy

Thrombectomy for anterior circulation stroke beyond 6 h from time last known well (AURORA): a systematic review and individual patient data meta-analysis.
Jovin TG, Nogueira RG, Lansberg MG, Demchuk AM, Martins SO, Mocco J, Ribo M, Jadhav AP, Ortega-Gutierrez S, Hill MD, Lima FO, Haussen DC, Brown S, Goyal M, Siddiqui AH, Heit JJ, Menon BK, Kemp S, Budzik R, Urra X, Marks MP, Costalat V, Liebeskind DS, Albers GW
Lancet 2022 Jan 15;399(10321):249-258. Epub 2021 Nov 11 doi: 10.1016/S0140-6736(21)01341-6. PMID: 34774198
Prehabilitation exercise therapy before elective abdominal aortic aneurysm repair.
Fenton C, Tan AR, Abaraogu UO, McCaslin JE
Cochrane Database Syst Rev 2021 Jul 8;7(7):CD013662. doi: 10.1002/14651858.CD013662.pub2. PMID: 34236703Free PMC Article
Coblation versus other surgical techniques for tonsillectomy.
Pynnonen M, Brinkmeier JV, Thorne MC, Chong LY, Burton MJ
Cochrane Database Syst Rev 2017 Aug 22;8(8):CD004619. doi: 10.1002/14651858.CD004619.pub3. PMID: 28828761Free PMC Article
Current status of the implantable LVAD.
Kadakia S, Moore R, Ambur V, Toyoda Y
Gen Thorac Cardiovasc Surg 2016 Sep;64(9):501-8. Epub 2016 Jun 6 doi: 10.1007/s11748-016-0671-y. PMID: 27270581
Aprotinin revisited.
Deanda A Jr, Spiess BD
J Thorac Cardiovasc Surg 2012 Nov;144(5):998-1002. Epub 2012 Jul 15 doi: 10.1016/j.jtcvs.2012.06.035. PMID: 22795461

Prognosis

Preradiosurgery embolization in reducing the postoperative hemorrhage rate for patients with cerebral arteriovenous malformations: a systematic review and meta-analysis.
Jiang X, Zhao Z, Zhang Y, Wang Y, Lai L
Neurosurg Rev 2021 Dec;44(6):3197-3207. Epub 2021 Apr 17 doi: 10.1007/s10143-021-01530-4. PMID: 33864525
Incidence of and Risk Factors and Reinterventions for Post-Pancreatoduodenectomy Hemorrhage: Retrospective Analysis.
Wang WG, Fu L, Babu SR, Wang L, Liang CP, Tian BL
Dig Surg 2018;35(1):19-27. Epub 2017 Apr 7 doi: 10.1159/000460263. PMID: 28384642
Postoperative surgical-site hemorrhage after kidney transplantation: incidence, risk factors, and outcomes.
Hachem LD, Ghanekar A, Selzner M, Famure O, Li Y, Kim SJ
Transpl Int 2017 May;30(5):474-483. Epub 2017 Mar 2 doi: 10.1111/tri.12926. PMID: 28120465
Postoperative hemorrhage following adenoidectomy.
Tomkinson A, Harrison W, Owens D, Fishpool S, Temple M
Laryngoscope 2012 Jun;122(6):1246-53. Epub 2012 Apr 20 doi: 10.1002/lary.23279. PMID: 22522935
Dexamethasone and postoperative bleeding after tonsillectomy and adenotonsillectomy in children: A meta-analysis of prospective studies.
Shargorodsky J, Hartnick CJ, Lee GS
Laryngoscope 2012 May;122(5):1158-64. Epub 2012 Mar 23 doi: 10.1002/lary.21881. PMID: 22447657

Clinical prediction guides

Postoperative hemorrhage following pancreatic injury: Risk factors and clinical outcomes.
Wang K, Li K, Deng Y, Wang X, Yang C, Chu C, Li W, Li J, Ding W
J Hepatobiliary Pancreat Sci 2023 May;30(5):644-654. Epub 2022 Nov 3 doi: 10.1002/jhbp.1251. PMID: 36270802
Machine learning for real-time prediction of complications in critical care: a retrospective study.
Meyer A, Zverinski D, Pfahringer B, Kempfert J, Kuehne T, Sündermann SH, Stamm C, Hofmann T, Falk V, Eickhoff C
Lancet Respir Med 2018 Dec;6(12):905-914. Epub 2018 Sep 28 doi: 10.1016/S2213-2600(18)30300-X. PMID: 30274956
Postoperative Tonsillectomy Hemorrhage.
Wall JJ, Tay KY
Emerg Med Clin North Am 2018 May;36(2):415-426. Epub 2018 Feb 10 doi: 10.1016/j.emc.2017.12.009. PMID: 29622331
Coagulation monitoring: current techniques and clinical use of viscoelastic point-of-care coagulation devices.
Ganter MT, Hofer CK
Anesth Analg 2008 May;106(5):1366-75. doi: 10.1213/ane.0b013e318168b367. PMID: 18420846
'Kissing' duodenal ulcers.
Stabile BE, Hardy HJ, Passaro E Jr
Arch Surg 1979 Oct;114(10):1153-6. doi: 10.1001/archsurg.1979.01370340059010. PMID: 485825

Recent systematic reviews

Systematic Review and Meta-Analysis of the Association Between Non-Steroidal Anti-Inflammatory Drugs and Operative Bleeding in the Perioperative Period.
Bongiovanni T, Lancaster E, Ledesma Y, Whitaker E, Steinman MA, Allen IE, Auerbach A, Wick E
J Am Coll Surg 2021 May;232(5):765-790.e1. Epub 2021 Jan 27 doi: 10.1016/j.jamcollsurg.2021.01.005. PMID: 33515678Free PMC Article
Interventions for treating post-extraction bleeding.
Kumbargere Nagraj S, Prashanti E, Aggarwal H, Lingappa A, Muthu MS, Kiran Kumar Krishanappa S, Hassan H
Cochrane Database Syst Rev 2018 Mar 4;3(3):CD011930. doi: 10.1002/14651858.CD011930.pub3. PMID: 29502332Free PMC Article
Guiding the non-bariatric surgeon through complications of bariatric surgery.
Contival N, Menahem B, Gautier T, Le Roux Y, Alves A
J Visc Surg 2018 Feb;155(1):27-40. Epub 2017 Dec 23 doi: 10.1016/j.jviscsurg.2017.10.012. PMID: 29277390
Complications After Systematic, Random, and Image-guided Prostate Biopsy.
Borghesi M, Ahmed H, Nam R, Schaeffer E, Schiavina R, Taneja S, Weidner W, Loeb S
Eur Urol 2017 Mar;71(3):353-365. Epub 2016 Aug 17 doi: 10.1016/j.eururo.2016.08.004. PMID: 27543165
Subtotal cholecystectomy for "difficult gallbladders": systematic review and meta-analysis.
Elshaer M, Gravante G, Thomas K, Sorge R, Al-Hamali S, Ebdewi H
JAMA Surg 2015 Feb;150(2):159-68. doi: 10.1001/jamasurg.2014.1219. PMID: 25548894

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