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Evaluation of the validated intraoperative bleeding scale in liver surgery: study protocol for a multicenter
Daniel Aparicio-López1, José Manuel Asencio-Pascual2, Gerardo Blanco-Fernández3
1Department of Surgery, Hospital Universitario Miguel Servet, Zaragoza, Spain.
Frontiers in Surgery
|October 18, 2023
Summary
This study evaluates the Validated Intraoperative Bleeding Scale (VIBe) in human liver surgery to standardize bleeding assessment and guide hemostatic agent selection. Findings aim to improve patient outcomes by optimizing treatment strategies.
Area of Science:
- Surgical hemostasis and bleeding management.
- Clinical validation of assessment tools.
Background:
- Standardized classification of intraoperative bleeding is lacking.
- International recommendations emphasize the need for a validated bleeding severity scale.
- Optimal selection of hemostatic agents is hindered by current classification limitations.
Purpose of the Study:
- To evaluate the Validated Intraoperative Bleeding Scale (VIBe) in human subjects.
- To assess the scale's utility in liver surgery.
- To explore relationships between bleeding extent, hemostatic agent choice, and postoperative complications.
Main Methods:
- Prospective, multicenter observational study.
- Inclusion of 259 liver resections across 10 Spanish HPB centers.
- Data collection on open and minimally invasive liver surgeries.
Main Results:
- The study aims to provide data for the evaluation of the VIBe scale.
- Results will inform the relationship between bleeding severity and hemostatic agent selection.
- Postoperative complication correlations with bleeding grade will be assessed.
Conclusions:
- The study will evaluate the VIBe scale for intraoperative bleeding in humans.
- Findings are intended for incorporation into clinical practice.
- This research supports the development of evidence-based hemostatic strategies.
