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...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 1997-12, Vol.59 (3), p.233-236
Main Authors: Yamada, T, Ikeda, A, Okamoto, Yu, Okamoto, Yo, Kanda, T, Ueki, M
Format: Article
Language:English
Subjects:
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Antibiotic Prophylaxis
Autologous blood transfusion
Bacterial Infections - prevention & control
Bacterial Infections - transmission
Biological and medical sciences
Blood Loss, Surgical
Blood Transfusion, Autologous - instrumentation
Blood. Blood and plasma substitutes. Blood products. Blood cells. Blood typing. Plasmapheresis. Apheresis
Cell Saver
Contraindications
Female
Humans
Hysterectomy
Intraoperative blood salvage
Intraoperative Care
Leiomyoma - surgery
Medical sciences
Transfusions. Complications. Transfusion reactions. Cell and gene therapy
Uterine myoma
Uterine Neoplasms - surgery
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Summary: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. Conclusion: Salvage-type autologous blood transfusion in abdominal simple total hysterectomy for uterine myoma was safe and its future use is promising.
ISSN:0020-7292
1879-3479
DOI:10.1016/S0020-7292(97)00218-X