title: Preoperative autologous blood deposition in support of gynaecological repair procedures.
abstract: 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 gL-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 < or = 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.
authors.affiliation: Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Ontario, Canada.
authors.forename: C
authors.initials: C
authors.lastname: Wang
authors.forename: W
authors.initials: W
authors.lastname: Lau
authors.forename: R
authors.initials: R
authors.lastname: Herst
authors.forename: H
authors.initials: H
authors.lastname: Drutz
authors.forename: B
authors.initials: B
authors.lastname: Fernandes
mesh_terms: D000328:Adult; D000368:Aged; D001804:Blood Transfusion, Autologous / Q000191:economics / Q000706:statistics & numerical data; D003362:Cost-Benefit Analysis; D017558:Elective Surgical Procedures; D005069:Evaluation Studies as Topic; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010052:Ovariectomy; D012189:Retrospective Studies; D014621:Vagina / Q000601:surgery
chemical_list: D006454:Hemoglobins