The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
AUTOTRANSUSION IN UROLOGICAL SURGERY
Experience with Transurethral Resection
Hideari IharaKurt RimkusHidekazu TakiuchiHiroshi KoikeToshihiro OginoShouzou HosokawaSuzuharu KatohKenji ShimadaMasaaki ArimaYoshinoir MoriFumihiko Ikoma
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1990 Volume 81 Issue 1 Pages 54-60

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Abstract

With the purpose to avoid the risk of homologous transfusion, autologous blood transfusion was performed in 26 patients who underwent transurethral resection of the prostate (TUR-P).
Autologous blood (200-400ml/time, 1-3times, total 200-800ml, mean 381ml) was predeposited 4 days to 3 weeks prior to elected TUR-P and was transfused during or just after the operation.
Since the start of this program in February 1988, homologous transfusion rate was decreased to 13.1%, whereas it has been 22.3% in 203 cases between January 1984 and January 1988.
The mean hemoglobin level fell to 81.6% of the predepositon level. However, the hemoglobin level recovered to 90.1% one month after operation. The circulatory condition of the patients with autologous transfusions was stabler than that of the patients with homologous transfusion or no transfusion. No clinical hemostatic problems occurred.
In cases with mild to moderate volume resection of the prostate, this autologous blood transfusion is recommended.

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© Japanese Urological Association
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