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Application of hemodilution in microsurgical free flap transplantation
Author(s) -
Qiao Qun,
Zhou Gang,
Chen GuangYu,
Ling YiChun,
Zhang Feng,
Buncke Harry J.
Publication year - 1996
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/(sici)1098-2752(1996)17:9<487::aid-micr2>3.0.co;2-a
Subject(s) - medicine , microsurgery , surgery , transplantation , free flap
The intra‐operative hemodilution and blood auto‐transfusion is a blood‐saving technique that can be performed when major blood loss is expected. The effects of this technique were studied in 30 microsurgical free flap transplantation patients. Between 400–600 ml blood was collected from the patients before surgery. The patients received dextran, a balanced salt solution, and glucose with the ratio of 3:1 to the collected blood volume, bleeding, and urine before the blood autotransfusion. There were no significant changes in RBC, HCT, MCV, blood pressure, or heart rate. Of the 30 free flaps, 28 were successful with a 93.3% survival rate. The safety of intra‐operative hemodilution and autologous blood transfusion in microsurgery as well as the effect of hemodilution on transplanted flap survival are discussed in this study © 1997 Wiley‐Liss, Inc MICROSURGERY 17:487–490 1996