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Transfusion rate associated with hysterectomy for benign disease
G R Otton1, S Mandapati, K A Streatfeild
1Division of Obstetrics and Gynaecology, John Hunter Hospital, New South Wales, Australia.
The Australian & New Zealand Journal of Obstetrics & Gynaecology
|January 15, 2002
Summary
Hysterectomy transfusion rates for benign conditions are low, especially for vaginal procedures (0.38%) versus abdominal (2.18%). Routine preoperative group and save policies are likely unnecessary for all patients undergoing hysterectomy.
Area of Science:
- Obstetrics and Gynecology
- Surgical Outcomes
- Blood Transfusion Medicine
Background:
- Transfusion rates after hysterectomy for benign disease serve as a quality assurance metric and indicator of hemorrhage.
- Assessing these rates informs decisions regarding preoperative blood management strategies, such as routine group and save (G and S) policies.
Purpose of the Study:
- To determine the transfusion rate for hysterectomies performed for benign conditions in a tertiary referral hospital.
- To evaluate the necessity of a routine preoperative group and save (G and S) policy for all patients undergoing hysterectomy.
Main Methods:
- A retrospective analysis of Blood Bank records was conducted.
- Data from 1220 hysterectomies for benign disease between 1993 and 1998 were examined.
- Transfusion rates were recorded for vaginal and abdominal hysterectomies.
Main Results:
- The overall transfusion rate for hysterectomies was analyzed.
- Vaginal hysterectomies had a significantly lower transfusion requirement (0.38%) compared to abdominal hysterectomies (2.18%).
Conclusions:
- Routine preoperative group and save (G and S) policies are not indicated for all patients undergoing hysterectomy for benign disease.
- Transfusion rate data can serve as a benchmark for monitoring surgical morbidity and comparing different hysterectomy techniques.