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[Autotransfusion in urological surgery--experience with transurethral resection]
H Ihara1, K Rimkus, H Takiuchi
1Department of Urology, Hyogo College of Medicine.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|January 1, 1990
Summary
Autologous blood transfusion before prostate surgery significantly reduced the need for homologous transfusions. Patients maintained stable circulation and recovered hemoglobin levels post-operation.
Area of Science:
- Urology
- Transfusion Medicine
Context:
- Transurethral resection of the prostate (TUR-P) carries a risk of homologous blood transfusion.
- Minimizing homologous transfusion is crucial for patient safety and resource management.
Purpose:
- To evaluate the efficacy and safety of autologous blood transfusion in patients undergoing TUR-P.
- To reduce the rate of homologous blood transfusion in TUR-P procedures.
Summary:
- Autologous blood was pre-deposited by 26 patients undergoing TUR-P (4 days to 3 weeks prior).
- Transfusion occurred during or immediately after surgery.
- The homologous transfusion rate decreased from 22.3% to 13.1% post-implementation.
- Mean hemoglobin dropped to 81.6% but recovered to 90.1% within one month.
- Circulatory conditions were stabler in autologous transfusion recipients.
Impact:
- Autologous blood transfusion is a safe and effective strategy for reducing homologous transfusions in TUR-P.
- This method improves patient circulatory stability and is recommended for mild to moderate prostate resections.