From: Tranexamic acid therapy for postoperative bleeding after bariatric surgery
Patient | Re-operation day | Blood pressure (mmHG) | Pulse (bpm) | Hemoglobin (mmol/l) | Drain production (cc) | Imaging findings | Intra-operative findings |
---|---|---|---|---|---|---|---|
1 | 1 | 120/64 | 128 | 6.9 | 400 | CT-abdomen: Fluid around pouch | Hematoma, 400Â cc blood evacuated, no active bleeding, anastomoses intact |
2 | 0 | i) 93/55 | 90 | – | – | – | Bleeding from trocar opening, 1000 cc blood evacuated, anastomoses intact |
4 | ii) 107/60 | 115 | 6.0 | – | X-thorax: free air CT-abdomen: Free fluid | Bleeding of gastro-jejunostomy anastomosis | |
3 | 1 | 127/81 | 104 | 5.7 | 650 | – | Bleeding vasa brevia Bleeding anastomosis pouch |
4 | 2 | 147/100 | 125 | 6.0 | 100 | – | Liver laceration Bleeding spleen |
5 | 0 | 74/55 | 80 | 6.3 | 0 | – | Diffuse bleeding of staple line, vasa brevia |