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Preoperative autologous blood deposition in support of gynaecological repair procedures
Author(s) -
Hong Wang,
; Lau,
Herst,
Drutz,
J. Fernandes
Publication year - 1998
Publication title -
transfusion medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 59
eISSN - 1365-3148
pISSN - 0958-7578
DOI - 10.1046/j.1365-3148.1998.00121.x
Subject(s) - medicine , autologous blood , surgery , blood transfusion , hysterectomy , abdominal hysterectomy
Autologous blood transfusion was evaluated in gynaecological repair procedures including abdominal/vaginal hysterectomy with vaginal repair, post‐hysterectomy vaginal suspension and fixation, uni/bilateral salpingo‐oophorectomy with vaginal colpopexy and sling procedures. A total of 247 autologous units were collected from 95 patients at the regional blood centre with 1–3 units (mean 2.6 units) deposition from each patient. One hundred and ninety of all collected units were transfused (collection/transfusion ratio = 1.3). Of these patients, 86 (90.5%) received autologous blood; 12 (13%) being transfused with 1 unit, 44 (46%) with 2 units and 30 (32%) with 3 units. Two of these patients received additional homologous blood. The average preoperative haemoglobin level was 119 g L −1 and average post‐operative haemoglobin level was 105 g L −1 . The post‐operative Hb level was used as a retrospective indicator for the requirement for blood transfusion. The results show that overall 75% of patients had post‐operative haemoglobin levels ≤ 110 and 33% of patients with Hb levels < 100, respectively. These results suggest that preoperative autologous blood deposition may be appropriate in the patients undergoing reconstructive gynaecological repair procedures since there was a high rate of usage of autologous blood and low post‐operative haemoglobin in a significant proportion of patients.