Autologous Blood Use in Reduction Mammaplasty

Clugston, Patricia A.; Fitzpatrick, Donald G.; Kester, David; Foley, Brian S.; Eva, Gudumac

doi:10.1097/00006534-199504001-00009

Cited by 22 publications

(7 citation statements)

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“…In addition, the success of PAD critically depends on the amount of available iron (Weisbach et al ., 1999). Clugston et al . (1995) showed that oral iron therapy given concomitantly with PAD did not prevent a significant drop in preoperative haemoglobin (Hb).…”

mentioning

confidence: 87%

Preoperative autologous blood donation for bone marrow harvests: Are we wasting donors' time and blood?

Mijović

Britten

Regan³

et al. 2005

Transfusion Medicine

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Predeposit autologous blood donation (PAD) is frequently offered to bone marrow donors, but its cost-effectiveness is dubious. We assessed the impact of PAD and bone marrow donation on transfusion requirements; and the use of donated blood units in a retrospective study of 61 bone marrow donors. The mean haemoglobin (Hb) concentration fell from 12.9 to 11.8 g dL(-1) in women who predonated one unit and from 13.2 to 10.9 g dL(-1) in those who predonated two units. In men who donated two units of blood, the Hb concentration decreased to 12.9 g dL(-1). Bone marrow harvest led to a further decline in Hb concentration by 2.3 g dL(-1) in women and by 2.4 g dL(-1) in men. The postharvest Hb fell to or= 9.0 g dL(-1); overtransfusion was even more apparent in men: 71% units were given with a Hb >or= 10.0 g dL(-1). PAD in bone marrow donors is associated with high wastage and increases the likelihood of requiring a transfusion. We recommend that PAD should not be routinely offered to bone marrow donors.

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mentioning

confidence: 87%

Preoperative autologous blood donation for bone marrow harvests: Are we wasting donors' time and blood?

Mijović

Britten

Regan³

et al. 2005

Transfusion Medicine

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“…Smith et al 7 also showed that the complication rates (11%) and blood transfusion rates (9%) were low. The complication rate for the contralateral breast was extremely low (1%), although previous studies have shown a desire to perform these procedures simultaneously because the risk of blood loss causes an unacceptably high rate of blood transfusion [14][15][16][17][18] .…”

Section: Discussionmentioning

confidence: 99%

Assessment of immediate symmetrization in breast reconstruction

Cammarota¹,

Galdino²,

Lima³

et al. 2017

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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“…Low preoperative hemoglobin levels may be attributed to the patient's oncologic state, effects of chemotherapy, nutritional state, and the undertaking of preoperative autologous blood donation. 7,25,28,29 The practice was popularized in the 1990s in the event of reported allogenic blood transfusion-related blood-borne infections. Autologous blood transfusion has also been said to reduce hospital stay, lower complication rate, and enable an earlier return to preoperative level but may increase postoperative transfusion requirements.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Blood Transfusion in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction

Ting

Rozen

Roux

et al. 2011

J reconstr Microsurg

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Perioperative blood loss during and following breast reconstruction surgery can have substantial impact on free flap survival and patient morbidity. Transfusion rates of up to 95% have been reported following transverse rectus abdominis myocutaneous flap breast reconstruction, with blood loss described as significant in most cases. However, there has been little reported of such requirements in patients undergoing deep inferior epigastric perforator (DIEP) flap breast reconstruction. We present the transfusion requirements of 152 consecutive patients who underwent DIEP flap breast reconstruction, with a view to quantifying transfusion requirements and identifying risk factors for such loss. In this cohort, 80.3% of patients required blood transfusion, with a mean volume of 3.9 U per patient. There was a statistically significant correlation for increased transfusion requirement in patients with preoperative anemia ( P < 0.001) and in bilateral cases ( P < 0.001), but not for cases of immediate reconstruction ( P = 0.72). Although blood loss in breast reconstructive surgery is rarely large enough to be life-threatening, relative anemia does have significant effect on flap survival and patient morbidity. With risk factors for increased transfusion requirements identified in the current study, high-risk patients can be predicted preoperatively.

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Autologous Blood Use in Reduction Mammaplasty

Cited by 22 publications

References 0 publications

Preoperative autologous blood donation for bone marrow harvests: Are we wasting donors' time and blood?

Preoperative autologous blood donation for bone marrow harvests: Are we wasting donors' time and blood?

Assessment of immediate symmetrization in breast reconstruction

Predictors of Blood Transfusion in Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction

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