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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

Endovascular treatment of postoperative hemorrhage after pancreatectomy: a retrospective study.
Izumi H, Yoshii H, Fujino R, Takeo S, Nomura E, Mukai M, Suda S, Tomita K, Kamei S, Ogawa Y, Hasebe T, Makuuchi H
BMC Gastroenterol 2023 Nov 7;23(1):379. doi: 10.1186/s12876-023-03022-9. PMID: 37936060Free PMC Article
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
The management of postoperative bleeding.
Dagi TF
Surg Clin North Am 2005 Dec;85(6):1191-213, x. doi: 10.1016/j.suc.2005.10.013. PMID: 16326202

Recent clinical studies

Etiology

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
Postlobectomy Early Complications.
Ziarnik E, Grogan EL
Thorac Surg Clin 2015 Aug;25(3):355-64. Epub 2015 Jun 12 doi: 10.1016/j.thorsurg.2015.04.003. PMID: 26210931Free PMC Article
Postoperative gastrointestinal hemorrhage.
Jones S, May AK
Surg Clin North Am 2012 Apr;92(2):235-42, viii. Epub 2012 Feb 1 doi: 10.1016/j.suc.2012.01.002. PMID: 22414410
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

Percutaneous management of paravalvular leaks.
Giblett JP, Rana BS, Shapiro LM, Calvert PA
Nat Rev Cardiol 2019 May;16(5):275-285. doi: 10.1038/s41569-018-0147-0. PMID: 30659248
The relevance of the coagulation screen before surgery.
Borges NM, Thachil J
Br J Hosp Med (Lond) 2017 Oct 2;78(10):566-570. doi: 10.12968/hmed.2017.78.10.566. PMID: 29019732
Postoperative abdominal bleeding.
Tasu JP, Vesselle G, Herpe G, Ferrie JC, Chan P, Boucebci S, Velasco S
Diagn Interv Imaging 2015 Jul-Aug;96(7-8):823-31. Epub 2015 Jun 12 doi: 10.1016/j.diii.2015.03.013. PMID: 26078019
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

Perioperative coagulopathy monitoring.
Jakoi A, Kumar N, Vaccaro A, Radcliff K
Musculoskelet Surg 2014 Jun;98(1):1-8. Epub 2013 Nov 27 doi: 10.1007/s12306-013-0307-7. PMID: 24281819
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
Tonsillectomy care for the pediatrician.
Isaacson G
Pediatrics 2012 Aug;130(2):324-34. Epub 2012 Jul 2 doi: 10.1542/peds.2011-3857. PMID: 22753552
Definition of major bleeding in clinical investigations of antihemostatic medicinal products in surgical patients.
Schulman S, Angerås U, Bergqvist D, Eriksson B, Lassen MR, Fisher W; Subcommittee on Control of Anticoagulation of the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis
J Thromb Haemost 2010 Jan;8(1):202-4. Epub 2009 Oct 30 doi: 10.1111/j.1538-7836.2009.03678.x. PMID: 19878532
Paediatric commentary.
Kubba H
Clin Otolaryngol 2009 Aug;34(4):366. doi: 10.1111/j.1749-4486.2009.01997.x. PMID: 19673987

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
Scarred hearts.
Gilbey P, Jostrom S
Patient Educ Couns 2016 Oct;99(10):1747-8. Epub 2016 Apr 11 doi: 10.1016/j.pec.2016.04.005. PMID: 27146604
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
Hemorrhage rate after coblation tonsillectomy: a meta-analysis of published trials.
Mösges R, Hellmich M, Allekotte S, Albrecht K, Böhm M
Eur Arch Otorhinolaryngol 2011 Jun;268(6):807-16. Epub 2011 Mar 4 doi: 10.1007/s00405-011-1535-9. PMID: 21373898Free PMC Article

Clinical prediction guides

Development and validation of a postoperative bleeding complications prediction model in infective endocarditis.
Wang J, Hou J, Feng K, Wu H, Liu Q, Zhou Z, Li H, Luo L, Fu G, Shang L, Chen G, Huang S, Wu Z
Int J Cardiol 2024 Feb 1;396:131432. Epub 2023 Oct 11 doi: 10.1016/j.ijcard.2023.131432. PMID: 37827281
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
Management of Recurrent and Delayed Post-Tonsillectomy and Adenoidectomy Hemorrhage in Children.
Cheung PKF, Walton J, Hobson ML, Taylor P, Chin M, Boardman S, Cheng ATL, Birman CS
Ear Nose Throat J 2023 Apr;102(4):244-250. Epub 2021 Mar 9 doi: 10.1177/0145561321999594. PMID: 33689495
POSTOPERATIVE HEMORRHAGE AS A COMPLICATION OF A PARTIAL NEPHRECTOMY: FREQUENCY, FEATURES AND MANAGEMENT.
Styopushkin S, Chaikovskyi V, Chernylovskyi V, Sokolenkо R, Bondarenko D
Georgian Med News 2021 Apr;(313):12-20. PMID: 34103423
Guidelines on the assessment of bleeding risk prior to surgery or invasive procedures. British Committee for Standards in Haematology.
Chee YL, Crawford JC, Watson HG, Greaves M
Br J Haematol 2008 Mar;140(5):496-504. doi: 10.1111/j.1365-2141.2007.06968.x. PMID: 18275427

Recent systematic reviews

Risk of thrombosis and bleeding in gynecologic cancer surgery: systematic review and meta-analysis.
Lavikainen LI, Guyatt GH, Luomaranta AL, Cartwright R, Kalliala IEJ, Couban RJ, Aaltonen RL, Aro KM, Cárdenas JL, Devereaux PJ, Galambosi PJ, Ge FZ, Halme ALE, Haukka J, Izett-Kay ML, Joronen KM, Karjalainen PK, Khamani N, Oksjoki SM, Pourjamal N; ROTBIGGS Investigators, Singh T, Tähtinen RM, Vernooij RWM, Tikkinen KAO
Am J Obstet Gynecol 2024 Apr;230(4):403-416. Epub 2023 Oct 11 doi: 10.1016/j.ajog.2023.10.006. PMID: 37827272
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
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
Guidelines on the assessment of bleeding risk prior to surgery or invasive procedures. British Committee for Standards in Haematology.
Chee YL, Crawford JC, Watson HG, Greaves M
Br J Haematol 2008 Mar;140(5):496-504. doi: 10.1111/j.1365-2141.2007.06968.x. PMID: 18275427

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