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Autotransfusion for ruptured ectopic pregnancy
D O Selo-Ojeme1, J L Onwude, U Onwudiegwu
1Department of Obstetrics and Gynaecology, St. John's Hospital, Wood Street, Essex, Chelmsford, UK. dseloojeme@aol.com
Objectives:
Clinical outcomes following the exclusive use of autotransfusion in the management of ruptured ectopic pregnancy are reviewed.
Methods:
A MEDLINE search (1966-2002) for relevant articles documenting the exclusive use of autotransfusion, and data collection and analysis was made.
Results:
There were 21 studies, 16 from developing and five from developed countries, involving 632 cases of ruptured ectopic pregnancies. Hypovolemic shock with significant hemoperitoneum (>500 ml) was the most common complication. The procedure was performed completely manually in developing countries and with the help of a device in developed countries. The mean volume of autotransfused blood was over 1000 ml, with mean hemoglobin levels ranging from 6 to 12.5 g/dl. Mean posttransfusion hemoglobin levels were higher than pretransfusion levels. There was one death, thought to be due to pulmonary embolism, and nine major and minor complications.
Conclusions:
Autotransfusion is useful in the management of ruptured ectopic pregnancy.