Georgian medical news最新文献

{"title":"ANATOMY OF THE MAXILLARY SINUS: IMPLICATIONS FOR ODONTOGENIC SINUSITIS DEVELOPMENT.","authors":"E Gorbik, O Ohurtsov, S Heranin, O Kolba, N Breslavets, O Sazonova, K Kysylenko, V Alekseeva","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study investigates the anatomical prerequisites that could contribute to the development of this condition.</p><p><strong>Material and methods: </strong>Using multi-slice computed tomography (MSCT), the study examined the structure and relationships of key anatomical features, including the alveolar process, sinus wall thickness, and the position of the teeth in relation to the maxillary sinus.</p><p><strong>Results: </strong>The results revealed that the lower wall of the maxillary sinus is predominantly formed by the alveolar process, with significant variability in wall thickness, especially between the central and lateral regions. In 95% of cases, this wall was closely associated with the roots of the upper teeth, particularly the premolars. A strong negative correlation was observed between the thickness of the alveolar process and the volume of the maxillary sinus, suggesting that larger sinuses tend to have thinner alveolar processes. Additionally, a significant correlation was found between the position of the sinus and the degree of pneumatization, with a more medially positioned orbit in cases of reduced pneumatization.</p><p><strong>Conclusion: </strong>Structural features of the maxillary sinus, such as its proximity to the teeth and its relationship to sinus pneumatization, are critical factors in the development of odontogenic rhinosinusitis. A comprehensive, collaborative approach is necessary for effective management and prevention, with careful consideration of these anatomical aspects during dental and maxillofacial interventions.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 355","pages":"211-216"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BENNETT'S FRACTURE: A NARRATIVE REVIEW OF CURRENT LITERATURE.","authors":"A Sain, J Chia, N Manzoor, M Malik, N Khayyat, H Asim, A Elkilany, O Russell, V Derguti, M Halasa, A Jindal, F Hussain, K Wattage, H Manyar, J Wilson, L Chamayi, H Burton, A Mahmood, W Alfred, V Deshmukh, A Kotian, Z Sohail","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Bennett's fracture, a fracture-dislocation of the base of the first metacarpal, poses significant challenges due to the unique biomechanics of the thumb's carpometacarpal (CMC) joint. Effective management is critical to restoring thumb function and preventing long-term complications such as arthritis and instability.</p><p><strong>Objective: </strong>This article provides a comprehensive overview of Bennett's fracture, including its mechanism of injury, diagnostic considerations, and management strategies, with a focus on conservative and surgical options.</p><p><strong>Methods: </strong>A detailed review of the current literature was conducted to outline the principles and techniques of closed reduction with percutaneous pinning (CRPP), open reduction and internal fixation (ORIF), and emerging methods such as arthroscopic-assisted fixation.</p><p><strong>Results: </strong>Conservative management is appropriate for minimally displaced fractures but is often inadequate for displaced injuries due to persistent muscle forces acting on the metacarpal. CRPP offers a minimally invasive option for fractures with moderate displacement, while ORIF provides superior stability for complex fractures. Emerging techniques, including arthroscopy and bioabsorbable implants, show promise in minimizing complications and improving outcomes.</p><p><strong>Conclusion: </strong>The management of Bennett's fractures requires a tailored approach based on fracture displacement, patient needs, and surgeon expertise. Timely diagnosis, appropriate treatment selection, and structured rehabilitation are essential for optimal recovery. Advances in imaging, surgical methods, and materials hold the potential to further refine treatment strategies and improve long-term outcomes.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 355","pages":"171-173"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EVALUATING ORAL AND MAXILLOFACIAL HEALTH CHALLENGES IN INTRAVENOUS DRUG USERS: A CROSS-SECTIONAL STUDY OF DRUG REPLACEMENT THERAPY PARTICIPANTS AND NON-PARTICIPANTS.","authors":"N Chichua, G Margishvili, G Dzodzuashvili, R Ivanishvili, V Margvelashvili","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Intravenous drug use has a significant impact on oral and maxillofacial health, often resulting in complications like tooth loss and osteomyelitis. This study investigates the differences in oral health between drug users enrolled in replacement therapy and those not yet participating, with the goal of assessing the impact of structured treatment programs.</p><p><strong>Aim: </strong>to evaluate and compare the prevalence of oral and maxillofacial complications among drug users involved in replacement therapy and those newly registering for treatment.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in Tbilisi, Georgia, at the Center for Mental Health and Prevention of Addiction. Participants were divided into two groups: 135 individuals registering for replacement therapy for the first time and 115 participants who had been enrolled for over a year. Data collection involved questionnaires and intraoral examinations, focusing on inflammatory signs, functional impairments, and complications like retained roots and signs of toxic osteomyelitis. Statistical analysis was performed using IBM SPSS Statistics version 23.</p><p><strong>Results: </strong>The findings revealed that individuals without prior replacement therapy had significantly more severe inflammatory symptoms, including draining fistulas (12.6% vs. 3.5%, χ²(2)=8.61, p=0.013), exposed bone (12.6% vs. 0.9%, χ²(1)=13.74, p=0.000), and visualized sequestra (8.9% vs. 1.7%, χ²(1)=6.01, p=0.014). Functional impairments, such as difficulties in mouth opening (31.1% vs. 12.2%, χ²(1)=12.81, p=0.000) and tooth loosening (51.1% vs. 35.7%, χ²(1)=6.02, p=0.014), were also more prevalent in this group. Retained dental roots were notably higher in the posterior lower jaw among untreated individuals (72.6% vs. 53.9%, χ²(1)=9.41, p=0.002).</p><p><strong>Conclusion: </strong>The findings suggest that drug replacement therapy plays a significant role in reducing severe oral and maxillofacial complications. Integrating dental care into addiction programs is essential for addressing untreated oral health issues and preventing severe outcomes such as osteomyelitis. Longitudinal studies are recommended to further evaluate the long-term benefits of replacement therapy and refine intervention strategies.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 355","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PERCUTANEOUS OCCLUSION OF MAJOR AORTOPULMONARY COLLATERALS IN TRANSPOSITION OF THE GREAT ARTERIES USING AMPLATZER PICCOLO OCCLUDERS: CASE REPORT.","authors":"V Khelashvili, T Shiryaev, O Gogia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Collateral vascular arteries from the descending aorta to the pulmonary arteries are uncommon after arterial switch operation. We describe a case of transposition of the great arteries (TGA) with significant aortopulmonary collateral vessels causing management difficulties after an arterial switch operation. Preoperatively, the presence of collaterals exacerbated aortic diastolic runoff and led to myocardial ischemia. Postoperatively, despite uneventful extubation, the infant developed clinical heart failure characterized by pericardial and pleural effusions and feeding difficulties, which promptly resolved with percutaneous embolization of collaterals. Major aortopulmonary collaterals (MAPCAs) are rarely associated with TGA, but if present they may cause important hemodynamic imbalance in infants with TGA.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 355","pages":"104-116"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"IMPROVEMENT OF SURGICAL TREATMENT OF ACUTE BILIARY PANCREATITIS.","authors":"A Masalov, M Aimagambetov, M Auyenov, S Abdrakhmanov, N Omarov, A Dyusupov, T Bulegenov, A Akhmetov, D Bokin","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose of the study: &lt;/strong&gt;improving the surgical treatment of biliary pancreatitis by using a universal retractor and improved methods of omentobursostomy with drainage of the omental bursa.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Non-randomized controlled clinical trial Material and methods: This study included thirty-nine patients who underwent surgical procedures between October 2022 and September 2023 in Semey, located in the Abay region. The study examined the general characteristics of surgical interventions performed for acute biliary pancreatitis using our proposed treatment methods and devices to improve the outcomes of acute biliary pancreatitis. Open surgery was indicated when simultaneous surgical intervention on the gallbladder, bile ducts, pancreas, and retroperitoneal space was necessary.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study included 39 participants (100%), with 26 women (66.7%) and 13 men (33.3%). The average age of the participants was 48.6±1.2 years. The most common clinical manifestations of acute biliary pancreatitis observed in the study were abdominal pain (100%), fever (46.1%), and chills (41%). Dyspeptic symptoms such as nausea and vomiting were present in 48.7% of participants, while symptoms of cholestasis and skin itching were observed in 23%. All 39 patients (100%) experienced pain, with 13 (33.4%) experiencing girdle pain and 12 (30.7%) experiencing epigastric pain. The most common location of pain was under the right hypochondrium in 14 (35.9%) patients. The most frequent surgical intervention was cholecystectomy with drainage of the common bile duct (CBD) performed in 43.5% (n=17) of cases. Other surgical interventions included choledochoduodenostomy (CDD) according to the Yurash-Vinogradov method in 18% (n=7), hepaticojejunostomy according to Roux-en-Y in 7.7% (n=3), and laparotomy with dissection of the pancreatic capsule with abdominalization in 7.7% (n=3). A developed method was applied in 5.1% (n=2) cases, where acute biliary pancreatitis was complicated by infected pancreatic necrosis, requiring urgent necrectomy, sanitation of the omental bursa and parapancreatic tissue. In these cases, laparotomy with cholecystectomy + drainage of the CBD with omentobursostomy and retroperitonealostomy was performed. Endoscopic interventions were used in 18% (n=7) cases.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Thus, complications after surgical treatment of biliary pancreatitis occurred in 17.9% (n=7) of patients, including bile leakage at the site of the drainage tube placement 2.6% (n=1), biliodigestive anastomosis failure 2.6% (n=1), scar stenosis of the terminal part of the common bile duct after drainage 5.1% (n=2), increased severity of acute pancreatitis 5.1% (n=2) after endoscopic lithotripsy, fluid accumulation in the subcutaneous tissue (seroma) 5.1% (n=2). There were 5.1% (n=2) deaths. The causes of death were recurrent erosive bleeding with total pancreatic necrosis and septic shock with the develop","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 355","pages":"148-155"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EVALUATION OF THE FUNCTIONAL CHARACTERISTICS OF THE UNIVERSAL HEALTHCARE PROGRAM BY MEDICAL PERSONNEL IN TBILISI.","authors":"B Chkhaidze, L Loria","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The working conditions of healthcare professionals are constantly exposed to excessive physical and emotional overload and stress. the dynamics of the level of job satisfaction play an important role, directly affecting labor efficiency. Aim: The paper aims to determine the level of satisfaction of medical staff with the state program of universal health care in Tbilisi and its regions. Methods: the study was conducted in outpatient and hospital institutions of Tbilisi and the regions, 207 randomly selected medical personnel aged 18 to 70 were interviewed. The interviewees were from the clinics in Tbilisi and the medical staff employed in both the outpatient and inpatient sectors of the \"Regional Health Center Results: When asked whether there are factors that hinder the implementation of the public health program in terms of impeccable patient care, the vast majority of medical personnel employed in both sectors, 89% responded that they do exist and are due to the inferiority of the public health care program (exceptional diagnoses, lack of laboratory and instrumental research). On the question of which component, you think needs to be improved/changed following the universal healthcare program, most of the medical staff employed in the outpatient clinic (60%) consider the simplification of the payment procedures, while the hospital sector considers more awareness about the services and procedures. 40% of the medical staff employed in the outpatient clinic indicated that the relationship with private insurance companies is more useful and easier, and 71% of the medical staff employed in the hospital sector considered cooperation with the state program of universal health care to be preferable Conclusion: • Implementation of a universal healthcare system improved access to medical services and satisfaction of medical personnel. • Medical staff satisfaction is significantly higher in the hospital sector than in the outpatient sector. • The research outcomes can be used to increase the job satisfaction of doctors in medical institutions.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 354","pages":"160-164"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"STROKE AS A LIFE-THREATENING COMPLICATION IN CHILDREN WITH LINEAR SCLERODERMA OF FACE.","authors":"M Osminina, N Podchernyaeva, L Khachatryan, O Shpitonkova, M Velikoretskaya, S Chebysheva, A Polyanskaya, E Gugueva","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the spectrum of neurological disorders in children with juvenile localized scleroderma (JLS) on face and JLS without plaques on face and head.</p><p><strong>Materials and methods: </strong>156 children with JLS were examined were with a neurological examination MRI, EEG, genetic thrombophilia markers detection.</p><p><strong>Results: </strong>Neurological disorders (ND) were found in 56 from 114 (49%) of the patients with scleroderma of head and face (LSH)(group1) and in 30% (13 from 42) with JLS without plaques on face (Group 2). Headaches were detected in Group 1 in 43,8%, in Group 2-in30%. In Group 1 other disorders were detected: epileptic seizures (in 25%), cranial nerve involvement (12.5%), stroke (5.3%), tics (5.3%), none of named in Group 2. Out of 56 children with ND changes on brain magnetic resonance imaging (MRI) were detected in 47 (84%). white matter lesions and less commonly gliotic changes in the periventricular area. Electroencephalography (EEG) monitoring revealed typical patterns of epileptiform activity in the majority of cases. These three cases of ischemic stroke in children with LSH are the first to be presented. All patients with stroke were diagnosed with genetic thrombophilia, two had cerebral vascular malformations, and one had antiphospholipid syndrome.</p><p><strong>Conclusion: </strong>Our data suggest that sclerodermic vasculopathy, cerebral vascular anomalies and genetic thrombophilia are rick factors for stroke in children with LSH. Mandatory MRI angiography and screening for genetic thrombophilia could identify risk group for stroke in children with LSH.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 354","pages":"122-128"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EFFECTIVENESS OF XYLITOL TOOTHPASTE IN CARIES PREVENTION: A REVIEW ARTICLE.","authors":"B Latifi-Xhemajli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study aims to summarize the evidence of the effectiveness of xylitol toothpastes with a focus on caries, namely on its prevention and reduction. Materials and methods: A thorough literature review was performed after conducting an electronic search through Medline, PubMed (Central), Scopus, Web of Science (Scielo), Google scholar, and the Cochrane Library (from 2000 to November 2022) to identify studies relevant to the effectiveness of xylitol toothpastes in caries prevention. Results: The number of studies that have been found in the literature to meet the criteria for inclusion in this article has been limited. Number of studies have analyzed the effect of xylitol on vehicles such chewing gums, gummy bears, lozenges or candies and not on toothpastes. Eight papers have been found that have met the criteria for inclusion in this article so that their results could be compared and discussed. The results of these studies regarding the effectiveness of xylitol toothpastes in oral health were quite convenient Conclusion: Positive proven properties of xylitol such as: biocompatibility with oral tissues, anti-caries effect, antibacterial effect, demineralization inhibitor and remineralization enhancer, makes xylitol an effective caries preventive and cariostatic agent and it should be part of a comprehensive strategy to prevent caries. Clearly can be concluded that xylitol should be consider as the most suitable sugar substitute in toothpastes.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 354","pages":"32-35"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PREVALENCE OF OSTEOPOROSIS IN PATIENTS WITH RHEUMATOID ARTHRITIS IN IRAQI KURDISTAN /DUHOK GOVERNORATE.","authors":"D Mostafa, M Rasool","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and objectives: </strong>The prevalence of osteoporosis among patients with rheumatoid arthritis (RA) in the Duhok governorate of Iraqi Kurdistan underscores a significant health concern that intersects autoimmune and bone health. The present study aimed to assess the prevalence of osteoporosis among patients with rheumatoid arthritis (RA) in the Duhok governorate.</p><p><strong>Methods: </strong>Detailed questionnaire to collect demographic data, essential for identifying factors influencing BMD, such as age, sex, and lifestyle were used. Participants then underwent Dual-energy X-ray Absorptiometry (DXA) scans, a precise imaging technique for measuring BMD.</p><p><strong>Results: </strong>The study involved middle-aged adults with an average age of 57.6 years, primarily females (91.5%), who had rheumatoid arthritis (RA) for about 15 years. Most participants were non-educated (71.5%) and lived in urban areas (77.1%). The majority worked in moderately heavy jobs (58.6%) and were married (98.5%). Most patients did not engage in exercise (84.3%), were non-smokers (77.1%), and alcohol-free (100%). Nearly half had a family history of RA, and all were tuberculosis-free. Clinically, most patients were obese, with 65.7% having comorbidities like hypertension and diabetes. A significant proportion tested positive for rheumatoid factors (74.3% for Rheumatoid factor and 84.3% for Anti-CCP) but were negative for DAS28-ESR. None had subcutaneous nodules, erosions, or joint surgeries. Regarding treatment, 65.7% used one DMARD, while 34.3% used two, and only 5.7% were on biologics; 80% also used corticosteroids. Osteoporosis was prevalent, with 80% showing signs (34.2% with osteopenia and 45.8% with osteoporosis).</p><p><strong>Conclusion: </strong>Such efforts should focus on integrating routine bone health evaluations into RA care protocols, necessitating collaborative endeavors among rheumatologists, endocrinologists, and primary care professionals. This interdisciplinary model aims not only at early diagnosis but also at formulating comprehensive management plans tailored to the unique needs of this demographic within Iraqi Kurdistan's healthcare framework.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 354","pages":"143-148"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RECENT TRENDS IN THE USE OF CELL SALVAGER FOR ORTHOPAEDIC TRAUMA AND ELECTIVE SURGERIES-A NARRATIVE REVIEW.","authors":"A Sain, U Ghosh, J Chia, M Malik, N Manzoor, M Halasa, F Hussain, H Asim, K Wattage, H Manyar, A Elkilany, A Jindal, J Wilson, N Khayyat, H Burton, W Alfred, V Deshmukh, Z Sohail, N Shah","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intraoperative blood loss management is a critical concern in orthopaedic surgeries, particularly in trauma and complex elective procedures. Traditionally, allogeneic blood transfusions have been used to manage significant blood loss, but they carry risks such as transfusion reactions, infections, and increased healthcare costs. Cell salvage, or autotransfusion, offers a safer alternative by collecting, processing, and reinfusing the patient's own blood during surgery. This article explores recent trends in the use of cell salvage in orthopaedic trauma and elective surgeries, highlighting its growing adoption in high-blood-loss procedures such as pelvic fractures, long bone injuries, and revision arthroplasties. We discuss the indications, including use in patients with rare blood types, religious objections to donor blood, and pre-existing anaemia. The advantages of cell salvage, such as reducing dependency on allogeneic transfusions, minimizing transfusion reactions, and providing cost-effectiveness, are weighed against its limitations, including high initial costs, contraindications in certain procedures, and the need for specialized training. Recent advances in cell salvage technology, which enhance the safety and efficiency of the process, are also examined. As orthopaedic practices evolve toward more patient-centered, cost-effective care, the role of cell salvage is expected to grow, making it a valuable tool in modern blood management strategies.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 354","pages":"42-44"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}