Fluid retention after shoulder arthroscopy: Gravity flow vs. automated pump-a prospective randomized study

dc.authorid0000-0002-4883-4317
dc.authorid0000-0003-0926-3029
dc.contributor.authorÇatal, Bilgehan
dc.contributor.authorAzboy, İbrahim
dc.date.accessioned2019-12-25T13:08:31Z
dc.date.available2019-12-25T13:08:31Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractBackground: Soft tissue fluid retention due to irrigation is relatively common after shoulder arthroscopy. The objective of this study was to compare fluid retention of 2 irrigation systems of shoulder arthroscopy: gravity flow irrigation and automated pump. Methods: Patients undergoing shoulder arthroscopy were enrolled prospectively and randomized into 2 groups using gravity flow system (GFS) or automated pump system (APS) for irrigation. Net weight gain was the primary outcome measurement to determine periarticular fluid retention. Change in deltoid diameter and postoperative pain were also compared. Results: Forty-two patients were included in the study. There were no statistically significant differences between the GFS and APS groups regarding demographics, surgical procedures, duration of surgery. or the amount of irrigation fluid used. The APS group had greater weight gain per hour (1.46 +/- 0.36 kg/ h vs. 1.1 +/- 0.38 kg/h) than the GFS group. A strong correlation was found between the amount of fluid used and the weight gain in both the GFS and APS groups. But a strong correlation between duration of surgery and weight gain was found in the APS group only. The APS group also had a greater mean deltoid diameter increase (3.33 +/- 1.56 cm vs. 2.1 +/- 1.44 cm) and a higher postoperative first-hour visual analog pain scale score (5.81 +/- 1.2 vs. 3.62 +/- 1.6). Conclusion: APS causes more fluid retention than GFS in shoulder arthroscopy when used for equal duration in similar procedures. Use of APS, prolongation of surgery. and increased amounts of irrigation fluid increase weight gain as a result of fluid retention.
dc.description.sponsorshipKafkas Universityen_US
dc.identifier.citationÇatal, B. ve Azboy, İ. (2019). Fluid retention after shoulder arthroscopy: Gravity flow vs. automated pump-a prospective randomized study. Journal of Shoulder and Elbow Surgery, 28(10), 1911-1917. https://doi.org/10.1016/j.jse.2019.05.041
dc.identifier.doi10.1016/j.jse.2019.05.041
dc.identifier.endpage1917
dc.identifier.issn1058-2746
dc.identifier.issue10
dc.identifier.scopusqualityQ1
dc.identifier.startpage1911
dc.identifier.urihttps://doi.org/10.1016/j.jse.2019.05.041
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4689
dc.identifier.volume28
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMosby-Elsevier
dc.relation.ispartofJournal of Shoulder and Elbow Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectArthroscopy
dc.subjectAutomated Pump
dc.subjectFluid Retention
dc.subjectGravity Flow
dc.subjectShoulder
dc.subjectWeight Gain
dc.titleFluid retention after shoulder arthroscopy: Gravity flow vs. automated pump-a prospective randomized study
dc.typeArticle

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