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Evidence summaries

Tourniquet in Varicose Vein Surgery

Use of tourniquet may reduce blood loss in varicose vein surgery. Level of evidence: "C"

The quality of evidence is downgraded by study limitations (lack of/unclear allocation concealment) and by imprecise results (few patients).

Summary

A Cochrane review [Abstract] 1 included 3 studies with a total of 176 subjects. Use of a tourniquet appeared to reduce blood loss during surgery; the reported blood loss when using a tourniquet was between 0 and 16 ml compared to between 107 to 133 ml when not using a tourniquet (P < 0.01). There were no reported differences between the use or non-use of a tourniquet in terms of complications and morbidity. However, the available trials were not of sufficient size to detect rarer complications such as nerve damage.

References

Primary/Secondary Keywords