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Blood Transfusion Requirements for Abdominal Hysterectomy: 3‐year Experience in a District Hospital (1993–1995)
Author(s) -
Ng Stanley P.H.
Publication year - 1997
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1997.tb02459.x
Subject(s) - abdominal hysterectomy , medicine , blood transfusion , hysterectomy , general surgery , surgery
EDITORIAL COMMENT: We accepted this paper for publication because the blood transfusion rate is an important consideration when discussing methods of hysterectomy. The author also provides interesting data concerning the complications encountered in this series of 236 abdominal hysterectomies. Readers are encouraged to give due attention to the details shown in table 1 especially the rates of injury to organs and need for unplanned return to the operating theatre. Summary: Two hundred and thirty six women who underwent abdominal hysterectomy for benign disease at Fairfield District Hospital were studied retrospectively. Eleven patients received a total of 28 units of blood. The transfusion rate was 4.7%. The average number of units transfused per operation was 0.12. Each transfused patient received an average of 2.5 units with a range of 1 ‐4 units. Only 27% of cross‐matched blood was actually transfused. Patients with preoperative anaemia, prolonged operation time and a larger uterus were more likely to require blood transfusion. The group and screen procedure is an adequate preoperative blood order for patients having abdominal hysterectomy.