Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution
Propose: This pilot study aimed to apply the central tenets of bloodless surgery and to analyze the effectiveness of specific preoperative, intraoperative, and postoperative strategies to minimize the risk for blood transfusion after gynecological surgery in a specific group of patients who refused...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-04-01
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| Series: | Women's Health Reports |
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| Online Access: | https://www.liebertpub.com/doi/10.1089/whr.2023.0156 |
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| author | Donatella Caserta Flavia Costanzi Maria Paola De Marco Aris Raad Besharat Christian Napoli Maria Rosaria Aromatario Stefano Palomba |
| author_facet | Donatella Caserta Flavia Costanzi Maria Paola De Marco Aris Raad Besharat Christian Napoli Maria Rosaria Aromatario Stefano Palomba |
| author_sort | Donatella Caserta |
| collection | DOAJ |
| description | Propose: This pilot study aimed to apply the central tenets of bloodless surgery and to analyze the effectiveness of specific preoperative, intraoperative, and postoperative strategies to minimize the risk for blood transfusion after gynecological surgery in a specific group of patients who refused blood products. Methods: A total of 83 patients undergoing gynecological surgery were included in the study. Forty-two patients received preoperatively oral iron, acid folic, and vitamin B12 supplementation in the 30 days before surgery, and 41 patients did not receive therapy. Results: No significant differences were found when comparing the two study groups. The implementation of all procedures to maintain a bloodless surgery has been helpful, in association with the other available procedures, in achieving optimal management and maintenance of hemoglobin levels, even in the most critical situations. Conclusion: In conclusion, implementing the bloodless approach as much as possible could guarantee the patient better and safer clinical and care management. Furthermore, well-designed research is required to clarify further the effects of bloodless surgery in gynecological patients. |
| format | Article |
| id | doaj-art-30e368540d6946f597c20fd321ea9d3a |
| institution | OA Journals |
| issn | 2688-4844 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj-art-30e368540d6946f597c20fd321ea9d3a2025-08-20T01:49:57ZengMary Ann LiebertWomen's Health Reports2688-48442024-04-015134635110.1089/whr.2023.0156Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single InstitutionDonatella Caserta0Flavia Costanzi1Maria Paola De Marco2Aris Raad Besharat3Christian Napoli4Maria Rosaria Aromatario5Stefano Palomba6Gynecology Division, Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Gynecology Division, Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Gynecology Division, Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Gynecology Division, Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Department of Anatomical, Histological, Forensic Medicine and Orthopedic Science, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Gynecology Division, Department of Medical Surgical Sciences and Translational Medicine, Sant'Andrea University Hospital, Sapienza University of Rome, Rome, Italy.Propose: This pilot study aimed to apply the central tenets of bloodless surgery and to analyze the effectiveness of specific preoperative, intraoperative, and postoperative strategies to minimize the risk for blood transfusion after gynecological surgery in a specific group of patients who refused blood products. Methods: A total of 83 patients undergoing gynecological surgery were included in the study. Forty-two patients received preoperatively oral iron, acid folic, and vitamin B12 supplementation in the 30 days before surgery, and 41 patients did not receive therapy. Results: No significant differences were found when comparing the two study groups. The implementation of all procedures to maintain a bloodless surgery has been helpful, in association with the other available procedures, in achieving optimal management and maintenance of hemoglobin levels, even in the most critical situations. Conclusion: In conclusion, implementing the bloodless approach as much as possible could guarantee the patient better and safer clinical and care management. Furthermore, well-designed research is required to clarify further the effects of bloodless surgery in gynecological patients.https://www.liebertpub.com/doi/10.1089/whr.2023.0156bloodless surgerygynecologicalJehovah's Witnessironacid folicvitamin B12 |
| spellingShingle | Donatella Caserta Flavia Costanzi Maria Paola De Marco Aris Raad Besharat Christian Napoli Maria Rosaria Aromatario Stefano Palomba Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution Women's Health Reports bloodless surgery gynecological Jehovah's Witness iron acid folic vitamin B12 |
| title | Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution |
| title_full | Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution |
| title_fullStr | Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution |
| title_full_unstemmed | Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution |
| title_short | Bloodless Gynecological Surgery in Blood Products Refusing Patients: Experience of a Single Institution |
| title_sort | bloodless gynecological surgery in blood products refusing patients experience of a single institution |
| topic | bloodless surgery gynecological Jehovah's Witness iron acid folic vitamin B12 |
| url | https://www.liebertpub.com/doi/10.1089/whr.2023.0156 |
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