CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Use of pneumatic tourniquet in Transtibial amputation for peripheral vascular disease: A prospective randomized blinded controlled trail

Author: 
Rajinder Singh, Abdul Ghani, Aamir Hakak, Sandeep Singh, Bhishan Singh, Kanav Padha and Khalid Muzafar
Subject Area: 
Health Sciences
Abstract: 

Introduction: The traditional view is that tourniquets are contraindicated during amputation surgery with peripheral vascular disease because they might cause damage to arteries in the thigh that are already diseased. Seeing encouraging results from studies done by some researchers we hypothesized that use of a pneumatic tourniquet might improve the outcome following transtibial amputation, without compromising wound healing in a population of elderly patients with peripheral vascular disease. Materials and methods: Fifty patients were chosen for this study who had non-reconstructible peripheral vascular disease and they were randomised to either tourniquet or no tourniquet (control). Blood loss, fall in haemoglobin, transfusion requirements, wound healing, breakdown and revision were recorded. Results: The mean intra-operative blood loss was 5oo ml (range 300–750) in the control group and the median blood loss was 500ml. The mean blood loss was 252 ml (range 150- 500) in the tourniquet group and the median blood loss was 200 ml (p <0.0001). Mean preoperative haemoglobin was 9.09 gm/dL in the tourniquet group versus 9.15 gm/dL in the non tourniquet control group. The mean postoperative haemoglobin fall was 0.63 gm/dl (6.9%) in the tourniquet group and 1.08 gm/dl (11.08%) in the non- tourniquet group (p =0.0001). The mean postoperative hemoglobin in control group was 7.76 gm/dl and in tourniquet was 8.46 gm/dl .One patient (4%) was transfused with one unit of blood in the tourniquet group. In the non-tourniquet group (control group), however, 10 patients (40%) needed a blood transfusion (p=0.03).Two patients (8%) in tourniquet group had wound breakdown which was managed by debridement and secondary closure. Four patients (16%) in control group had wound breakdown. Three pateints (12%) in tourniquet group required revision amputation compared with 5 patients (20%) in control group. Conclusion: Our results show that the use of an tourniquet during below knee transtibial amputation in ischemic limbs significantly reduces intra-operative blood loss, reduces fall in post operative hemoglobin and reduces the need for transfusion without major complications.

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

CHUDE NKIRU PATRICIA
Nigeria
Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran