[Intraoperative autotransfusion of traumatic hemoperitoneum in emergency surgery].
The système à lavage globulaire was used for intraoperative auto-transfusion of adult patients with traumatic hemoperitoneum. This method provides a rapid supply of blood of large amount and of quality superior to that supplied by a blood-bank: a massive autologous transfusion carries less risk of complications than a homologous transfusion. Although this procedure is without risk to patients it is essential to comply with its contraindications (rupture of a hollow organ for the septic risk and existence of a neoplasm for the dissemination risk) and also its precautions in use, mainly the combined use of frozen fresh plasma beyond a certain autotransfused quantity of blood (about 1,200 cc). This latter problem of supplementary supply of coagulation factor is identical to that raised by massive homologous transfusion.
Adhoute
B G
BG
Service de Chirurgie Viscérale et Vasculaire, Centre Hospitalier Intercommunal de Fréjus-Saint Raphael.
Ayoub
J
J
Reymondon
L
L
Gauthier
Y
Y
D000007:Abdominal Injuries / Q000628:therapy*; D001780:Blood Coagulation Tests; D001803:Blood Transfusion; D001804:Blood Transfusion, Autologous; D004630:Emergencies; D004907:Erythrocyte Deformability; D006465:Hemoperitoneum; D006801:Humans; D007430:Intraoperative Care / Q000379:methods
L'auto-transfusion per-opératoire d'hémopéritoines traumatiques en chirurgie d'urgence.