Blood Loss, Surgical
Conditions
Keywords
Specify the primary condition or disease being studied Major Hepatectomy
Brief summary
Blood loss was reported as a prognostic risk factor of morbidity and overall survival after hepatic resection. The aim of this study prospective randomized was compare the efficacy of the administration of tranexamic acid versus placebo to reduce perioperative bleeding after major hepatectomy (\> 3 hepatic segments).
Interventions
10 mg/kg Iv after randomization of the patient in the study,follow-up by continuous infusion of 10 mg/kg/h up to the end of the intervention.
10 mg/kg Iv after randomization of the patient in the study,follow-up by continuous infusion of 10 mg/kg/h up to the end of the intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Signature of the consent form * Patients with hepatic lesion needing a major hepatectomy (≥ 3 hepatic segments)
Exclusion criteria
* Absence of signature of the consent form * Patient with cirrhosis * Minor hepatectomy (\< 3 hepatic segments) * Hepatectomy associated with vascular resection * Contraindication of tranexamic acid : history of arterial or venous thrombosis , disseminated intravascular coagulation, severe renal insufficiency, history of epilepsies , intrathecal or intraventricular injection * Pregnant or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The volume of compensated blood loss with the formula: [TBV x (initial hematocrit - final hematocrit ) + number of transfused RBC unit] with TBV=Total Blood Volume and RBC= red blood cell (1 RBC unit = 500 ml with hematocrit=30%). | at day 5 |
Countries
France