Gynecologic surgery and the management of hemorrhage.
Surgical blood loss of more than 1000 mL or blood loss that requires a blood transfusion usually defines intraoperative hemorrhage. Intraoperative hemorrhage has been reported in 1% to 2% of hysterectomy studies. Preoperative evaluation of the patient can aid surgical planning to help prevent intraoperative hemorrhage or prepare for the management of hemorrhage, should it occur. To this effect, the medical and medication history and use of alternative medication must be gathered. This article discusses the methods of preoperative management of anemia, including use of iron, recombinant erythropoietin, and gonadotropin-releasing hormone agonists. The authors have also reviewed the methods of intraoperative and postoperative management of bleeding.
Parker
William H
WH
Department of Obstetrics and Gynecology, Saint John's Health Center, University of California Los Angeles School of Medicine, 1450 Tenth Street, Santa Monica, Los Angeles, CA 90401, USA. wparker@ucla.edu
Wagner
Willis H
WH
D000740:Anemia / Q000188:drug therapy; D001778:Blood Coagulation Disorders / Q000517:prevention & control; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion; D064420:Drug-Related Side Effects and Adverse Reactions; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects*; D006801:Humans; D008499:Medical Records; D004364:Pharmaceutical Preparations / Q000008:administration & dosage; D019106:Postoperative Hemorrhage / Q000628:therapy; D011300:Preoperative Care
D004364:Pharmaceutical Preparations