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. 2022 Feb 23;149(3):774–787. doi: 10.1097/PRS.0000000000008884

Table 3.

Randomized Controlled Trials on Local Use of Tranexamic Acid in Soft-Tissue Surgery: Inner Organs, Open Surgery

Reference, Year, Publication Type TXA Group (total sample size) Procedure Concentration of TXA, Volume, Mode of Administration Comparator Bleeding * Postoperative Hemorrhagic Incidence/Intervention/Transfusion
Sabry 2018, article64 35 (70) Lung decortication 30 mg/ml, 100 ml, poured into pleural cavity, drains clamped for 30–45 minutes 100 ml saline as placebo Postoperative blood loss drain production at 48 h (ml); TXA = 383 ± 120 vs placebo = 633 ± 164 Transfusion need (units of transfused blood) mean ± SD: TXA = 0.7 ± 0.9 vs placebo = 1.5 ± 1.1
Sallam 2019, article65 43 (86) Open hysterectomy 20 mg/ml, 50 ml irrigation, 50 ml intraabdominally 50 + 50 ml saline as placebo Total blood loss (ml)
TXA 395 ± 118 vs placebo 609 ± 119, p < 0.001
Transfusion need (n): TXA = 2 vs placebo = 4
Shady 2018, article66 35 (70) Open myomectomy 20 mg/ml, 100 ml, soaked gauze for 5 minutes 100 ml saline as placebo Total blood loss (ml) TXA = 684 ± 215 vs placebo = 1080 ± 126, p < 0.001 Transfusion need (n): TXA = 7 vs placebo = 19
Pourfakhr 2016, article63 186 total Prostatectomy 100 mg/ml, 5ml, topical irrigation after resection 5 ml saline as placebo Total blood loss (ml) TXA = 340 ± 152 vs placebo 515 ± SD not given, p = 0.01 Transfusion need (n): TXA = 0 vs placebo = 5

TXA, tranexamic acid; SD, standard deviation.

*

Values are mean unless otherwise stated.

Values (n) are number of patients unless otherwise stated.