Bone marrow aspiration or biopsy should be performed during the diagnosis of hematological diseases. Bone marrow aspiration or biopsy is a procedure when there is no other remedy for the diagnosis or follow-up of the disease. If bone marrow aspiration or biopsy is not performed, diagnosis of your disease will be delayed or taking correct decisions will be difficult during follow-up. This may lead to the progression of your disease and even to a negative impact on your life.
Bone marrow aspiration or biopsy is performed in the pelvis bone (aspiration is sometimes performed from the breastbone) under local anesthesia. We, Anadolu Medical Center, administer sedation before bone marrow biopsy. Bone marrow aspiration or biopsy is performed by the “Outpatient Surgery Department”. Bone marrow aspiration or biopsy site is cleaned with antiseptic solutions to reduce the risk of infection. Under sterile conditions, the periosteum layer on the skin and bone is anesthetized with 2% lidocaine. The bone marrow aspiration needle is advanced into the bone marrow for a period of 3-5 seconds for aspiration. A sterile syringe is then attached to the tip of the aspiration needle and the bone marrow is taken in a short time (3-5 seconds). In the meantime, the patient feels severe pain for a short time. It is not possible to block this pain by local anesthesia. The sample will be spread on the glass, stained in the laboratory and analyzed by the hematologist. The aspirated area is then covered with a sterile pad. In bone marrow biopsy, a needle larger than the aspiration needle is advanced more slowly into the bone marrow and sampled. The sample is put into a special solution and submitted to the laboratory. The result of this procedure is determined by several days to a week. A pathologist analyzes the biopsy specimens. Prophylactic antibiotics are not required for bone marrow aspiration or biopsy.
The risk of infection and bleeding is extremely low. The site should be kept covered for one day and not wet.