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Related Experiment Videos

Optimal blood use in genitourinary surgery.

A D Jenkins, P D Mintz

    The Journal of Urology
    |October 1, 1981
    PubMed
    Summary

    Transurethral prostatectomy rarely requires blood transfusions. Preoperative blood typing and antibody screening are safe, cost-effective alternatives to crossmatching for this common urologic surgery.

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    Transfusion triggers for blood components.

    Current opinion in hematology·2001

    Area of Science:

    • Urology
    • Transfusion Medicine
    • Surgical Procedures

    Background:

    • Transurethral resection of the prostate (TURP) is the most frequent urologic surgical procedure performed.
    • Historically, routine preoperative blood crossmatching was standard practice for TURP.

    Purpose of the Study:

    • To evaluate the necessity of preoperative blood crossmatching for patients undergoing uncomplicated transurethral prostatectomy.
    • To determine the actual transfusion rates and crossmatched-to-transfused ratios for TURP procedures.

    Main Methods:

    • Retrospective review of 226 patient records from 1977-1979.
    • Analysis of crossmatching and transfusion data for patients who underwent transurethral prostatectomy.

    Main Results:

    • Only 5.8% of patients (13 out of 226) received blood transfusions.
    • The crossmatched-to-transfused ratio was 21.5, indicating significant wastage of resources.
    • Preoperative ABO-Rh typing and antibody screening were identified as sufficient.

    Conclusions:

    • Routine preoperative crossmatching is not cost-effective for uncomplicated transurethral prostatectomy.
    • Preoperative ABO-Rh typing and antibody screening are safe and economical alternatives.
    • Optimizing transfusion protocols can improve resource allocation in urologic surgery.

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