Blood loss during radical retropubic prostatectomy: Is preoperative autologous blood donation indicated?

Michael Koch, Joseph A. Smith

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Purpose: We assessed the requirement for transfusion of allogeneic blood in a contemporary series of patients who did not deposit autologous blood before radical retropubic prostatectomy. Materials and Methods: After a policy was adopted in which preoperative autologous blood was not donated, 124 consecutive patients underwent radical retropubic prostatectomy. Type and screen for allogeneic blood were routinely available but neither hemodilation nor a cell saver was used. Results: Mean intraoperative blood loss was 579 cc and mean postoperative serum hematocrit was 33%. Only 3 patients (2.4%) required blood products due to intraoperative blood loss (2) and postoperative bleeding from a duodenal ulcer (1). Conclusions: Transfusion of blood products was required in a small percentage of our patients even without autologous blood donation. Therefore, the overall cost of care is decreased but, more importantly, the potential risks associated with autologous or allogeneic blood transfusion are eliminated.

Original languageEnglish (US)
Pages (from-to)1077-1080
Number of pages4
JournalJournal of Urology
Volume156
Issue number3
StatePublished - Sep 1996
Externally publishedYes

Fingerprint

Prostatectomy
Blood Donors
Blood Transfusion
Postoperative Hemorrhage
Duodenal Ulcer
Hematocrit
Hemorrhage
Costs and Cost Analysis
Serum

Keywords

  • blood loss, surgical
  • blood transfusion, autologous
  • prostatectomy

ASJC Scopus subject areas

  • Urology

Cite this

Blood loss during radical retropubic prostatectomy : Is preoperative autologous blood donation indicated? / Koch, Michael; Smith, Joseph A.

In: Journal of Urology, Vol. 156, No. 3, 09.1996, p. 1077-1080.

Research output: Contribution to journalArticle

@article{b6dcf5e5a4764146b8dbf7272834918e,
title = "Blood loss during radical retropubic prostatectomy: Is preoperative autologous blood donation indicated?",
abstract = "Purpose: We assessed the requirement for transfusion of allogeneic blood in a contemporary series of patients who did not deposit autologous blood before radical retropubic prostatectomy. Materials and Methods: After a policy was adopted in which preoperative autologous blood was not donated, 124 consecutive patients underwent radical retropubic prostatectomy. Type and screen for allogeneic blood were routinely available but neither hemodilation nor a cell saver was used. Results: Mean intraoperative blood loss was 579 cc and mean postoperative serum hematocrit was 33{\%}. Only 3 patients (2.4{\%}) required blood products due to intraoperative blood loss (2) and postoperative bleeding from a duodenal ulcer (1). Conclusions: Transfusion of blood products was required in a small percentage of our patients even without autologous blood donation. Therefore, the overall cost of care is decreased but, more importantly, the potential risks associated with autologous or allogeneic blood transfusion are eliminated.",
keywords = "blood loss, surgical, blood transfusion, autologous, prostatectomy",
author = "Michael Koch and Smith, {Joseph A.}",
year = "1996",
month = "9",
language = "English (US)",
volume = "156",
pages = "1077--1080",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Blood loss during radical retropubic prostatectomy

T2 - Is preoperative autologous blood donation indicated?

AU - Koch, Michael

AU - Smith, Joseph A.

PY - 1996/9

Y1 - 1996/9

N2 - Purpose: We assessed the requirement for transfusion of allogeneic blood in a contemporary series of patients who did not deposit autologous blood before radical retropubic prostatectomy. Materials and Methods: After a policy was adopted in which preoperative autologous blood was not donated, 124 consecutive patients underwent radical retropubic prostatectomy. Type and screen for allogeneic blood were routinely available but neither hemodilation nor a cell saver was used. Results: Mean intraoperative blood loss was 579 cc and mean postoperative serum hematocrit was 33%. Only 3 patients (2.4%) required blood products due to intraoperative blood loss (2) and postoperative bleeding from a duodenal ulcer (1). Conclusions: Transfusion of blood products was required in a small percentage of our patients even without autologous blood donation. Therefore, the overall cost of care is decreased but, more importantly, the potential risks associated with autologous or allogeneic blood transfusion are eliminated.

AB - Purpose: We assessed the requirement for transfusion of allogeneic blood in a contemporary series of patients who did not deposit autologous blood before radical retropubic prostatectomy. Materials and Methods: After a policy was adopted in which preoperative autologous blood was not donated, 124 consecutive patients underwent radical retropubic prostatectomy. Type and screen for allogeneic blood were routinely available but neither hemodilation nor a cell saver was used. Results: Mean intraoperative blood loss was 579 cc and mean postoperative serum hematocrit was 33%. Only 3 patients (2.4%) required blood products due to intraoperative blood loss (2) and postoperative bleeding from a duodenal ulcer (1). Conclusions: Transfusion of blood products was required in a small percentage of our patients even without autologous blood donation. Therefore, the overall cost of care is decreased but, more importantly, the potential risks associated with autologous or allogeneic blood transfusion are eliminated.

KW - blood loss, surgical

KW - blood transfusion, autologous

KW - prostatectomy

UR - http://www.scopus.com/inward/record.url?scp=0029758915&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029758915&partnerID=8YFLogxK

M3 - Article

C2 - 8709311

AN - SCOPUS:0029758915

VL - 156

SP - 1077

EP - 1080

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 3

ER -