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8/14/2026 7:23:45 AM | Browse: 1 | Download: 1
Publication Name World Journal of Orthopedics
Manuscript ID 123237
Country Greece
Received
2026-05-18 07:41
Peer-Review Started
2026-05-18 07:42
First Decision by Editorial Office Director
Return for Revision
2026-06-22 08:08
Revised
2026-07-11 21:01
Publication Fee Transferred
Second Decision by Editor
2026-07-23 07:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-07-28 12:31
Articles in Press
2026-07-28 12:31
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-08-12 03:32
Publish the Manuscript Online
2026-08-14 07:23
ISSN 2218-5836 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Orthopedics
Manuscript Type Editorial
Article Title Beyond visible blood loss: Rethinking perioperative bleeding in endoscopic spine surgery
Manuscript Source Invited Manuscript
All Author List Stylianos Kapetanakis and Byron Chalidis
ORCID
Author(s) ORCID Number
Stylianos Kapetanakis http://orcid.org/0000-0001-6276-2447
Byron Chalidis http://orcid.org/0000-0003-1305-2734
Funding Agency and Grant Number
Corresponding Author Byron Chalidis, Assistant Professor, MD, PhD, First Academic Orthopaedic Department, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Exohi, Thessaloniki 57010, Greece. byronchalidis@gmail.com
Key Words Hidden blood loss; Endoscopic spine surgery; Unilateral biportal endoscopy; Lumbar spinal stenosis; Perioperative blood loss; Minimally invasive spine surgery
Core Tip Hidden blood loss (HBL) represents a substantial and often underestimated component of perioperative bleeding in endoscopic spine surgery. As highlighted by recent evidence, irrigation-based techniques may obscure ongoing hemorrhage, which creates a disconnect between visible and physiological blood loss. While HBL is consistently observed across endoscopic procedures, its predictors remain context-dependent and its clinical relevance is not yet fully defined. Rather than relying on visible intraoperative blood loss alone, clinicians should interpret perioperative bleeding within a broader framework that accounts for procedural complexity and patient factors.
Publish Date 2026-08-14 07:23
Citation

Kapetanakis S, Chalidis B. Beyond visible blood loss: Rethinking perioperative bleeding in endoscopic spine surgery. World J Orthop 2026; 17(8): 123237

URL https://www.wjgnet.com/2218-5836/full/v17/i8/123237.htm
DOI https://doi.org/10.5312/wjo.123237
Full Article (PDF) WJO-17-123237-with-cover.pdf
Manuscript File 123237_Auto_Edited_042605.docx
Answering Reviewers 123237-answering-reviewers.pdf
Audio Core Tip 123237-audio.m4a
Conflict-of-Interest Disclosure Form 123237-conflict-of-interest-statement.pdf
Copyright License Agreement 123237-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 123237-non-native-speakers.pdf
Peer-review Report 123237-peer-reviews.pdf
Scientific Misconduct Check 123237-scientific-misconduct-check.png
Scientific Editor Work List 123237-scientific-editor-work-list.pdf
CrossCheck Report 123237-crosscheck-report.pdf