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Bone-marrow biopsy with the bordier trephine
Scandinavian Journal of Haematology
|April 1, 1975
Summary
The Bordier trephine, a larger instrument for bone marrow biopsy, provides excellent histological material for diagnosis. This technique is easy to use and yields high-quality specimens with minimal complications.
Area of Science:
- Hematology
- Surgical Pathology
Background:
- Bone marrow biopsy is crucial for diagnosing hematological disorders.
- Existing biopsy instruments may yield suboptimal specimens.
- The Bordier trephine offers a larger diameter for improved sample acquisition.
Purpose of the Study:
- To report the experience with the Bordier trephine for bone marrow biopsy.
- To evaluate the efficacy and safety of this larger-diameter trephine.
Main Methods:
- A 12-month study involving 89 bone marrow biopsies using the Bordier trephine.
- Specimens obtained from the posterior iliac crest region.
- Utilized a specific cutting technique for complete bone perforation.
Main Results:
- The Bordier trephine (5 mm inner diameter) consistently yielded suitable histological material.
- The larger specimen size proved advantageous for diagnostic purposes.
- One case of hematoma occurred in a non-thrombocytopenic patient.
Conclusions:
- The Bordier trephine is an effective and easy-to-use instrument for bone marrow biopsy.
- It provides diagnostically superior specimens due to its larger size.
- EDTA is recommended for specimen decalcification.