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Autotransfusion for ruptured ectopic pregnancy
Author(s) -
SeloOjeme D.O,
Onwude J.L,
Onwudiegwu U
Publication year - 2003
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/s0020-7292(02)00379-x
Subject(s) - autotransfusion , medicine , hemoperitoneum , ectopic pregnancy , obstetrics , complication , shock (circulatory) , surgery , pulmonary embolism , pregnancy , blood transfusion , biology , genetics
Objectives : Clinical outcomes following the exclusive use of autotransfusion in the management of ruptured ectopic pregnancy are reviewed. Methods : A MEDLINE search (1966–2002) for relevant articles documenting the exclusive use of autotransfusion, and data collection and analysis was made. Results : There were 21 studies, 16 from developing and five from developed countries, involving 632 cases of ruptured ectopic pregnancies. Hypovolemic shock with significant hemoperitoneum (>500 ml) was the most common complication. The procedure was performed completely manually in developing countries and with the help of a device in developed countries. The mean volume of autotransfused blood was over 1000 ml, with mean hemoglobin levels ranging from 6 to 12.5 g/dl. Mean posttransfusion hemoglobin levels were higher than pretransfusion levels. There was one death, thought to be due to pulmonary embolism, and nine major and minor complications. Conclusions : Autotransfusion is useful in the management of ruptured ectopic pregnancy.