Intraoperative blood salvage in abdominal simple total hysterectomy for uterine myoma.
OBJECTIVE
To investigate the safety and usefulness of salvage-type autologous blood transfusion for abdominal simple total hysterectomy for uterine myoma.


METHODS
Forty patients with uterine myoma diagnosed histologically were treated by abdominal simple total hysterectomy using an intraoperative blood salvage apparatus. Bacterial contamination in the processed blood was studied.


RESULTS
Homologous blood transfusion was unnecessary. There was a positive relationship between bleeding volume and the hemoglobin (g) level in the processed blood. All vaginal swabs were positive for bacteria. Bacterial cultures of all processed blood samples without an antibiotic were positive whereas results were negative in 11 (50%) of the processed blood samples with an antibiotic. There were no significant side effects after reinfusion.


CONCLUSIONS
Salvage-type autologous blood transfusion in abdominal simple total hysterectomy for uterine myoma was safe and its future use is promising.
Yamada
T
T
Department of Obstetrics and Gynecology, Osaka Medical College, Japan.
Ikeda
A
A
Okamoto
Y
Y
Okamoto
Y
Y
Kanda
T
T
Ueki
M
M
D000328:Adult; D019072:Antibiotic Prophylaxis; D001424:Bacterial Infections / Q000517:prevention & control / Q000635:transmission; D016063:Blood Loss, Surgical; D001804:Blood Transfusion, Autologous / Q000295:instrumentation; D000075202:Contraindications; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007430:Intraoperative Care; D007889:Leiomyoma / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*