although correlation was not perfect, our data indicate that a high score on the scale of Alvarado in patients with appendicitis is correlated with advanced stages of the inflammatory process of acute appendicitis.

Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency Transoperative refusion: a simple and safe method in emergency surgery surgery surgery surgery surgery Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de Reinfusão transoperatória: um método simples e seguro na cirurgia de emergência emergência emergência emergência emergência LUIZ CARLOS BUARQUE GUSMÃO, TCBC AL 1 ; SÉRGIO HENRIQUE CHAGAS VALOES 2 ; JOSÉ DA SILVA LEITÃO NETO 3 ABSTRACT ABSTRACT ABSTRACT ABSTRACT ABSTRACTThe objective is to reinforce the importance of blood reinfusion as a cheap, safe and simple method, which can be used in small hospitals, especially those in which there is no blood bank. Moreover, even with the use of devices that perform the collection and filtration of blood, more recent studies show that the cost-benefit ratio is much better when autologous transfusion is compared with blood transfusions, even when there is injury to hollow viscera and blood contamination. It is known that the allogeneic blood transfusion carries a number of risks to patients, among them are the coagulation disorders mediated by excess enzymes in the conserved blood, and deficiency in clotting factors, mainly the Factor V, the proacelerin. Another factor would be the risk of contamination with still unknown pathogens or that are not investigated during screening for selection of donors, such as the West Nile Fever and Creutzfeldt-Jacob, better known as "Mad Cow" disease. Comparing both methods, we conclude that blood autotransfusion has numerous advantages over heterologous transfusion, even in large hospitals. We are not against blood transfusions, just do not agree that the patient's own blood is discarded without making sure there will be enough blood in stock to get him out of the hemorrhagic shock. Blood reinfusion is a method consisting in the reintroduction of blood lost by the patient at any bleeding, in the pre, per and post-operative, and accumulated in the thoracic or abdominal cavities. Its is collected by various means and immediately reintroduced into the patient's circulation 1 . It is, therefore, an autologous transfusion, which differentiates it from the other homologous transfusions [2][3][4][5] . Currently, we highlight the main means of reinfusion usage: intraoperative, made with blood accumulated in serous cavities (hemoperitoneum and hemothorax); intraoperative, made with blood collected during surgical procedures; postoperative (using blood collected in surgical drains); of blood contained in the organs excised during surgery 1,3,6 . This method is used primarily in splenectomies, and should not be used on infected or...