[Autotransfusion in urological surgery--experience with transurethral resection].
With the purpose to avoid the risk of homologous transfusion, autologous blood transfusion was performed in 26 patients who underwent transurethral resection of the prostate (TUR-P). Autologous blood (200-400 ml/time, 1-3 times, total 200-800 ml, mean 381 ml) was predeposited 4 days to 3 weeks prior to elected TUR-P and was transfused during or just after the operation. Since the start of this program in February 1988, homologous transfusion rate was decreased to 13.1%, whereas it has been 22.3% in 203 cases between January 1984 and January 1988. The mean hemoglobin level fell to 81.6% of the predeposition level. However, the hemoglobin level recovered to 90.1% one month after operation. The circulatory condition of the patients with autologous transfusions was stabler than that of the patients with homologous transfusion or no transfusion. No clinical hemostatic problems occurred. In cases with mild to moderate volume resection of the prostate, this autologous blood transfusion is recommended.
Ihara
H
H
Department of Urology, Hyogo College of Medicine.
Rimkus
K
K
Takiuchi
H
H
Koike
H
H
Ogino
T
T
Hosokawa
S
S
Katoh
S
S
Shimada
K
K
Arima
M
M
Mori
Y
Y
D000368:Aged; D001777:Blood Coagulation; D001804:Blood Transfusion, Autologous; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000379:methods; D011470:Prostatic Hyperplasia / Q000097:blood / Q000601:surgery; D011471:Prostatic Neoplasms / Q000097:blood / Q000601:surgery
D006454:Hemoglobins