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Advances in knee surgery: periarticular vasoconstrictor infiltration technique.

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Title: Advances in knee surgery: periarticular vasoconstrictor infiltration technique.
Alternate Title: Avances en cirugía de rodilla: técnica de infiltración vasoconstrictora periarticular.
Authors: Gómez-Bautista, Carlos1 dr.calosgb5@gmail.com, Márquez-Villa, Aldo1, Arellano-Pérez, Anabel1, Herrera-Amarillas, José Manuel1, Navarro-Dávila, José Ignacio2, Pedroza-Macías, Raúl2, Martínez-Hernández, Ángel2, Herrera-Duarte, Arnulfo2
Source: Revista Mexicana de Anestesiología. abr-jun2026, Vol. 49 Issue 2, p65-69. 5p.
Subjects: TOTAL knee replacement, SURGICAL blood loss, BLOOD loss estimation, KNEE surgery, SURGICAL complications, OPERATIVE surgery, HEMOSTASIS
Abstract (English): Introduction: advancements in knee surgery, notably periarticular vasoconstrictor infiltration (PVI), enhance surgical precision and reduce intraoperative bleeding. PVI involves injecting vasoconstrictive agents around the knee joint pre-surgery to constrict blood vessels, improving visibility, and promoting hemostasis. Our study assesses PVI's impact on intraoperative bleeding during total knee arthroplasty (TKA), aiming to optimize surgical conditions and minimize complications. Material and methods: an observational study at Grupo Médico la Salud hospital, Aguascalientes, Mexico, was carried out. Elective TKA patients underwent PVI with slight modification on the technique regarding the volume of total solution injected. The main outcome focused on intraoperative and postoperative blood loss within 24 hours, excluding tourniquet use. Postoperative analgesia was not assessed. Results: 30 patients undergoing TKA were included in the study and PVI was performed, blood loss was evaluated alongside clinical characteristics. The majority were women (73.3%) with a mean age of 69 ± 9 years, primarily diagnosed with Gonarthrosis (93.3%). PVI was conducted without tourniquets, with a median perioperative blood loss of 80 ml and postoperative blood loss of 300 mL. Complications were minimal, promptly managed, with satisfactory patient recovery. Conclusion: PVI technique is an effective approach in TKA surgery that minimizes blood loss and complications. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: los avances en la cirugía de rodilla, en particular la infiltración periarticular vasoconstrictora (PVI), mejoran la precisión quirúrgica y reducen el sangrado intraoperatorio. La PVI implica la inyección de agentes vasoconstrictores alrededor de la articulación de la rodilla antes de la cirugía para contraer los vasos sanguíneos, mejorar la visibilidad y promover la hemostasia. Este estudio evalúa el impacto de la PVI en el sangrado intraoperatorio durante la artroplastia total de rodilla (ATR), con el objetivo de optimizar las condiciones quirúrgicas y minimizar las complicaciones. Material y métodos: se llevó a cabo un estudio observacional en el Hospital Grupo Médico la Salud, Aguascalientes, México. Los pacientes con ATR electiva se sometieron a PVI con una ligera modificación en la técnica con respecto al volumen de solución total inyectada. El resultado principal se centró en la pérdida de sangre intraoperatoria y postoperatoria dentro de las 24 horas, excluyendo el uso de torniquete. No se evaluó la analgesia postoperatoria. Resultados: se incluyeron 30 pacientes sometidos a ATR en el estudio y se realizó PVI, se evaluó la pérdida de sangre junto con las características clínicas. La mayoría eran mujeres (73.3%) con una edad media de 69 ± 9 años, con diagnóstico de gonartrosis en su mayoría (93.3%). La PVI se realizó sin torniquetes, con una pérdida sanguínea perioperatoria media de 80 mL y una pérdida sanguínea postoperatoria de 300 mL. Las complicaciones fueron mínimas, se manejaron rápidamente y la recuperación de los pacientes fue satisfactoria. Conclusión: la técnica PVI es un abordaje eficaz en la cirugía de artroplastia total de rodilla que minimiza la pérdida sanguínea y las complicaciones. [ABSTRACT FROM AUTHOR]
Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Advances in knee surgery: periarticular vasoconstrictor infiltration technique.
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  Data: Avances en cirugía de rodilla: técnica de infiltración vasoconstrictora periarticular.
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  Data: <searchLink fieldCode="AR" term="%22Gómez-Bautista%2C+Carlos%22">Gómez-Bautista, Carlos</searchLink><relatesTo>1</relatesTo><i> dr.calosgb5@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Márquez-Villa%2C+Aldo%22">Márquez-Villa, Aldo</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Arellano-Pérez%2C+Anabel%22">Arellano-Pérez, Anabel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Herrera-Amarillas%2C+José+Manuel%22">Herrera-Amarillas, José Manuel</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Navarro-Dávila%2C+José+Ignacio%22">Navarro-Dávila, José Ignacio</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Pedroza-Macías%2C+Raúl%22">Pedroza-Macías, Raúl</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Martínez-Hernández%2C+Ángel%22">Martínez-Hernández, Ángel</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Herrera-Duarte%2C+Arnulfo%22">Herrera-Duarte, Arnulfo</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Mexicana+de+Anestesiología%22">Revista Mexicana de Anestesiología</searchLink>. abr-jun2026, Vol. 49 Issue 2, p65-69. 5p.
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  Data: <searchLink fieldCode="DE" term="%22TOTAL+knee+replacement%22">TOTAL knee replacement</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+blood+loss%22">SURGICAL blood loss</searchLink><br /><searchLink fieldCode="DE" term="%22BLOOD+loss+estimation%22">BLOOD loss estimation</searchLink><br /><searchLink fieldCode="DE" term="%22KNEE+surgery%22">KNEE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+complications%22">SURGICAL complications</searchLink><br /><searchLink fieldCode="DE" term="%22OPERATIVE+surgery%22">OPERATIVE surgery</searchLink><br /><searchLink fieldCode="DE" term="%22HEMOSTASIS%22">HEMOSTASIS</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: advancements in knee surgery, notably periarticular vasoconstrictor infiltration (PVI), enhance surgical precision and reduce intraoperative bleeding. PVI involves injecting vasoconstrictive agents around the knee joint pre-surgery to constrict blood vessels, improving visibility, and promoting hemostasis. Our study assesses PVI's impact on intraoperative bleeding during total knee arthroplasty (TKA), aiming to optimize surgical conditions and minimize complications. Material and methods: an observational study at Grupo Médico la Salud hospital, Aguascalientes, Mexico, was carried out. Elective TKA patients underwent PVI with slight modification on the technique regarding the volume of total solution injected. The main outcome focused on intraoperative and postoperative blood loss within 24 hours, excluding tourniquet use. Postoperative analgesia was not assessed. Results: 30 patients undergoing TKA were included in the study and PVI was performed, blood loss was evaluated alongside clinical characteristics. The majority were women (73.3%) with a mean age of 69 ± 9 years, primarily diagnosed with Gonarthrosis (93.3%). PVI was conducted without tourniquets, with a median perioperative blood loss of 80 ml and postoperative blood loss of 300 mL. Complications were minimal, promptly managed, with satisfactory patient recovery. Conclusion: PVI technique is an effective approach in TKA surgery that minimizes blood loss and complications. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: los avances en la cirugía de rodilla, en particular la infiltración periarticular vasoconstrictora (PVI), mejoran la precisión quirúrgica y reducen el sangrado intraoperatorio. La PVI implica la inyección de agentes vasoconstrictores alrededor de la articulación de la rodilla antes de la cirugía para contraer los vasos sanguíneos, mejorar la visibilidad y promover la hemostasia. Este estudio evalúa el impacto de la PVI en el sangrado intraoperatorio durante la artroplastia total de rodilla (ATR), con el objetivo de optimizar las condiciones quirúrgicas y minimizar las complicaciones. Material y métodos: se llevó a cabo un estudio observacional en el Hospital Grupo Médico la Salud, Aguascalientes, México. Los pacientes con ATR electiva se sometieron a PVI con una ligera modificación en la técnica con respecto al volumen de solución total inyectada. El resultado principal se centró en la pérdida de sangre intraoperatoria y postoperatoria dentro de las 24 horas, excluyendo el uso de torniquete. No se evaluó la analgesia postoperatoria. Resultados: se incluyeron 30 pacientes sometidos a ATR en el estudio y se realizó PVI, se evaluó la pérdida de sangre junto con las características clínicas. La mayoría eran mujeres (73.3%) con una edad media de 69 ± 9 años, con diagnóstico de gonartrosis en su mayoría (93.3%). La PVI se realizó sin torniquetes, con una pérdida sanguínea perioperatoria media de 80 mL y una pérdida sanguínea postoperatoria de 300 mL. Las complicaciones fueron mínimas, se manejaron rápidamente y la recuperación de los pacientes fue satisfactoria. Conclusión: la técnica PVI es un abordaje eficaz en la cirugía de artroplastia total de rodilla que minimiza la pérdida sanguínea y las complicaciones. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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