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[Postoperative autotransfusion in total hip and knee prostheses]
1Service d'Anesthésie-Réanimation, Polyclinique du Parc, Bar-le-Duc.
The Solcotrans orthopaedic system was used post-operatively in one hundred patients. The following findings were made concerning the blood collected: absence of bacterial contamination; reduction of cellular elements; destruction of clotting factors; increased free haemoglobin. Clinical observation and biological checks established the absence of any disturbance of coagulation and of renal function due to the transfusion of haemolyzed blood. Only blood collected during the first ten hours postoperatively was retransfused. No attempt was made to correct the state of haemodilution considered of benefit in the prevention of thrombo-embolism. In 90% of the cases transfusion of homologous blood in the postoperative phase was avoided. The method seems appropriate in orthopaedic surgery when postoperative bleeding is expected but should be used cautiously in re-interventions. It is to be avoided in malignancies and septic cases. Since the writing of this paper three hundred more cases were done without incident.
The Solcotrans orthopaedic system was used post-operatively in one hundred patients. The following findings were made concerning the blood collected: absence of bacterial contamination; reduction of cellular elements; destruction of clotting factors; increased free haemoglobin. Clinical observation and biological checks established the absence of any disturbance of coagulation and of renal function due to the transfusion of haemolyzed blood. Only blood collected during the first ten hours postoperatively was retransfused. No attempt was made to correct the state of haemodilution considered of benefit in the prevention of thrombo-embolism. In 90% of the cases transfusion of homologous blood in the postoperative phase was avoided. The method seems appropriate in orthopaedic surgery when postoperative bleeding is expected but should be used cautiously in re-interventions. It is to be avoided in malignancies and septic cases. Since the writing of this paper three hundred more cases were done without incident.