Autologous blood transfusion criteria formulated for patients with gynecological disease.

Mayumi Noguchi, Hitoshi Ohto, Tetsunori Tasaki, Chokichi Hashimoto, Yuriko Tohyama, Ryoichi Motoki, Chikara Endo, Kazuhiko Hoshi, Akira Sato
In: Journal of the Japan Society of Blood Transfusion · 1993 · vol. 39(6) , pp. 917–922 · doi:10.3925/jjtc1958.39.917 · W2330594383
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This paper proposes autologous blood transfusion criteria for gynecological operations, recommending specific donation volumes for patients undergoing modified hysterectomy with lymph node dissection or total abdominal hysterectomy complicated by endometriosis.

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This study analyzed data from 181 women who donated an average of 460ml of autologous blood prior to elective gynecological surgeries between 1990 and 1992, noting no adverse reactions during the donation periods. The authors propose specific transfusion criteria based on surgical type, recommending approximately 600ml for modified hysterectomy with lymph node dissection and at least 800ml for radical hysterectomy. For total abdominal hysterectomies involving patients with endometriosis or a history of prior gynecological operations, the paper suggests donating 400ml of autologous blood. Relevance to endometriosis: listed as one indication for autologous blood donation in patients undergoing total abdominal hysterectomy, though the paper's main focus is general gynecological surgical protocols.

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Abstract

181 women donated an average of 460ml of autologous blood before elective gynecological surgery at our blood transfusion service from January 1990 to December 1992. No adverse reactions were found during the donation periods.We propose a criteria of autologous blood transfusion for gynecological operations.1) This program should be indicated in all the patients in need of modified hysterectomy with retroperitoneal lymph node dissection. Storing about 600ml of autologous blood is desirable in these cases.2) Among the cases planned to have total abdominal hysterectomy, these with endometriosis or a history of gynecological operations are suitable for donation of 400ml of autologous blood.3) At the time of radical hysterectomy, 800ml or more of autologous blood is needed for an operation.
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抄録 181 women donated an average of 460ml of autologous blood before elective gynecological surgery at our blood transfusion service from January 1990 to December 1992. No adverse reactions were found during the donation periods. We propose a criteria of autologous blood transfusion for gynecological operations. 1) This program should be indicated in all the patients in need of modified hysterectomy with retroperitoneal lymph node dissection. Storing about 600ml of autologous blood is desirable in these cases. 2) Among the cases planned to have total abdominal hysterectomy, these with endometriosis or a history of gynecological operations are suitable for donation of 400ml of autologous blood. 3) At the time of radical hysterectomy, 800ml or more of autologous blood is needed for an operation. We propose a criteria of autologous blood transfusion for gynecological operations. 1) This program should be indicated in all the patients in need of modified hysterectomy with retroperitoneal lymph node dissection. Storing about 600ml of autologous blood is desirable in these cases. 2) Among the cases planned to have total abdominal hysterectomy, these with endometriosis or a history of gynecological operations are suitable for donation of 400ml of autologous blood. 3) At the time of radical hysterectomy, 800ml or more of autologous blood is needed for an operation. © 日本輸血・細胞治療学会

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endometriosis

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