title: Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes.
abstract: This review attempts to outline the alternative measures and interventions used in bloodless surgery in the field of gynecologic oncology and demonstrate their effectiveness. Nowadays, as increasingly more patients are expressing their fears concerning the potential risks accompanying allogenic transfusion of blood products, putting the theory of bloodless surgery into practice seems to gaining greater acceptance. An increasing number of institutions appear to be successfully adopting approaches that minimize blood usage for all patients treated for gynecologic malignancies. Preoperative, intraoperative and postoperative measures are required, such as optimization of red blood cell mass, adequate preoperative plan and invasive hemostatic procedures, assisting anesthetic techniques, individualization of anemia tolerance, autologous blood donation, normovolemic hemodilution, intraoperative cell salvage and pharmacologic agents for controlling blood loss. An individualised management plan of experienced personnel adopting a multidisciplinary team approach should be available to establish non-blood management strategies, and not only on demand of the patient, in the field of gynecologic oncology with the use of drugs, devices and surgical-medical techniques.
authors: Department of Obstetrics and Gynecology, Alexandra Hospital, School of Medicine, University of Athens, Greece.
authors: Maria
authors: M
authors: Simou
authors: Nikolaos
authors: N
authors: Thomakos
authors: Flora
authors: F
authors: Zagouri
authors: Antonios
authors: A
authors: Vlysmas
authors: Nikolaos
authors: N
authors: Akrivos
authors: Dimitrios
authors: D
authors: Zacharakis
authors: Christos A
authors: CA
authors: Papadimitriou
authors: Meletios-Athanassios
authors: MA
authors: Dimopoulos
authors: Alexandros
authors: A
authors: Rodolakis
authors: Aris
authors: A
authors: Antsaklis
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001793:Blood Preservation; D005260:Female; D005833:Genital Neoplasms, Female / Q000601:surgery*; D013509:Gynecologic Surgical Procedures; D006801:Humans