Factors Relating blood loss Undergoing decompressive laminectomy in Hua Hin Hospital, Prachuap Khiri Khan Province


  • Suthat Juengteerapanich Hua Hin Hospital


blood loss, level of surgery, operative time, lumbar spinal stenosis


Background: Lumbar decompressive laminectomy is associated with a substantial risk of intraoperative and perioperative complications. An understanding of predisposing risk factors is important and valuable for the improvement in perioperative blood management.

Objective: To assess the factors affected for blood loss in patients underwent decompressive laminectomy in Hua Hin Hospital, Prachuap Khiri Khan Province.

Methods: The charts of 83 patients with lumbar spinal stenosis and underwent decompressive laminectomy between 1 January 2017 and 12 July 2022 were reviewed. Data were collected and analysed by percentage, mean, standard deviation, t-test, one-way ANOVA and the stepwise multiple regression analysis.

Results: It was found that the mean blood loss was 277.17± 259.08  ml, level of surgery 1 level vs 3 levels (149.84 ml vs 481.90 ml) and 2 levels vs 3 levels (251.38 ml vs 481.90 ml), operative time less than 120 min vs more than 120 min (112.32 ml vs 361.09 ml) and transamin use yes/no (457.50 ml vs 234.10ml) were significantly different blood loss at statistical level of .05. Operative time could be used to predict the blood loss in patients underwent decompressive laminectomy 42.1% with a statistical significant level of .01. There were no statistical significant difference in sex, age, BMI, ASA physical status, preoperative hematocrit, hypertension, aspirin use and NSAIDs use.

Conclusion: The author suggested that operative time can be used to estimate preoperative blood loss and for every 1 minute in operative time the blood loss increases on average by 4.861 ml.


Download data is not yet available.


Sachs B, Fraenkel J. Progressive ankylotic rigidity of the spine (spondylose rhizomelique). J Nerv Ment Dis 1900;27:1–15.

Raymond JG, Ashley LP. Degenerative disorders of the thoracic and lumbar spine. In: Frederick MA, James HP, editors. Campbell’s operative ortholpaedics. 14th ed. Pennsylvania: Elsevier; 2021. p. 1772.

Ravindra VM, Senglaub SS, Rattani A, Dewan MC, Härtl R, Bisson E, et al. Degenerative lumbar spine disease: estimating global incidence and worldwide volume. Global Spine J. 2018;8:784–94.

Hughey AB, Lesniak MS, Ansari SA, Roth S. What will anesthesiologists be anesthetizing? Trends in neurosurgical procedure usage. Anesth Analg 2010;110:1686–97.

Dutton RP, Lee LA, Stephens LS, Posner KL, Davies JM, Domino KB. Massive hemorrhage: a report from the anesthesia closed claims project. Anesthesiology 2014;121:450–8.

Baschera D, Oberle J, Grubhofer F, Schmid SL. Perioperative use of anticoagulant and platelet-inhibiting medications for elective spine surgery: results of a nationwide survey. J Neurol Surg A 2018;79:398- 407.

Pauyo T, Verma N, Marwan Y, Aoude A, Khashan M, Weber MH. Canadian Consensus for the prevention of blood loss in spine surgery. Spine (Phila Pa 1976) 2017;42:E50-5.

Zhang C, Wang G, Liu X, Li Y, Sun J. Safety of continuing aspirin therapy during spinal surgery: a systematic review and meta-analysis. Medicine (Baltimore) 2017;96:46.

Columbo JA, Lambour AJ, Sundling RA, Rebecca AD, Chauhan NB, Bessen SY, et al. A meta-analysis of the impact of aspirin, clopidogrel, and dual antiplatelet therapy on

bleeding complications in noncardiac surgery. Ann Surg 2018;267:1-10.

Goes R, Muskens IS, Smith TR, Mekary RA, Broekman MLD, Moojen WA. Risk of aspirin continuation in spinal surgery: a systematic review and meta-analysis. Spine J 2017;17:1939- 46.

Lu VM, Ho YT, Nambiar M, Mobbs RJ, Phan K. The perioperative efficacy and safety of antifibrinolytics in adult pinal fusion surgery: a systematic review and meta-analysis. Spine (Phila Pa 1976) 2018;43:E949-58.

Pennington Z, Ehresman J, Camilo AM, Schilling A, Feghali J, Huq S, el al. A novel predictive model of intraoperative blood loss in patients undergoing elective lumbar surgery for degenerative pathologies, Spine J 2020;20:1976-85.

Fengyu Z, Frank P, Cammisa Jr, Harvinder SS, Federico PG, Safdar NK, et al. Factors predicting hospital stay, operative time, blood loss, and transfusion in patients undergoing revision posterior lumbar spine decompression,fusion, and segmental instrumentation. SPINE 2002;27:818–24.

Lei F, Li Z, He W, TianX, Zheng L, Kang J, el al.Hidden blood loss and the risk factors after posterior lumbar fusion surgery A retrospective study. Medicine 2020;99:19.




How to Cite

Juengteerapanich, S. (2023). Factors Relating blood loss Undergoing decompressive laminectomy in Hua Hin Hospital, Prachuap Khiri Khan Province. Hua Hin Medical Journal, 3(1), 27–38. Retrieved from https://he01.tci-thaijo.org/index.php/hhsk/article/view/259579



Original article