Autologous Blood Use in Reduction Mammaplasty

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

doi:10.1097/00006534-199595050-00009

Cited by 5 publications

(8 citation statements)

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“…All ve patients were in the dextran group; this is important, and a larger prospective study is needed to clarify whether blood transfusions are needed more often when dextran is used. In view of this, like others we conclude that autotransfusion is not necessary routinely (3,4,14).…”

Section: Discussionsupporting

confidence: 82%

“…The use of local anaesthesia with vasoconstricting agents has reduced the amount of blood loss during operation (2,6). Autotransfusion has previously been described (14) but is no longer used routinely (3,4). Clinical symptoms of thromboembolism after reduction mammaplasty are rare, probably because most patients are healthy, young or middleaged and their hospital stay is short.…”

mentioning

confidence: 99%

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Reduction Mammaplasty and the Use of Dextran Against Thromboembolism

Eriksson¹,

Skoog²

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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A retrospective study was conducted on 98 consecutive patients who had reduction mammaplasty done by different techniques during 1995, to find out the effect of dextran 70 on operative blood loss and postoperative complications. The most common procedure was reduction with a laterally based flap (n = 67) followed by a Lejour vertical mammaplasty (n = 15) and a medially based flap (n = 12). Four had other operations. Dextran 70 was given peroperatively to 64 patients and their median (range) blood loss was 350 (30-1000) ml and drainage volume 80 (10-465) ml. In 33 patients not treated with dextran 70 the median (range) blood loss was 200 (25-650) ml and the drainage volume 40 (0-115) ml. Ten patients developed major complications and 16 minor complications and there was no difference in the complication rate between those given dextran 70 (18/64, 28%) and those who were not (8/33, 24%), p = 0.8. Complications were no more common in smokers, overweight patients or those whose breasts were reduced by more than 1500 g, but there was a tendency to find more complications after the Lejour vertical mammaplasty. In conclusion, the study shows that patients undergoing mammaplasty and given Dextran 70 have an acceptable blood loss and drainage. In patients with a high risk of developing thromboembolism there is a need for a prophylactic agent and this study shows that dextran 70 may safely be used during reduction mammaplasty.

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Section: Discussionsupporting

confidence: 82%

mentioning

confidence: 99%

Reduction Mammaplasty and the Use of Dextran Against Thromboembolism

Eriksson¹,

Skoog²

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…In 2 other studies, 16,17 9% and 26% of the autologous blood donor patients had none of their units returned, but data about the proportion of autologous units not used were not provided. In one study 26 of patients undergoing mammoplasty, the transfusion rate in the control group was only 3%.…”

Section: Unused Autologous Bloodmentioning

confidence: 95%

Preoperative Autologous Donation Decreases Allogeneic Transfusion but Increases Exposure to All Red Blood Cell Transfusion<subtitle>Results of a Meta-analysis</subtitle>

Forgie¹

1998

Arch Intern Med

241

112

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Preoperative autologous donation of blood decreases exposure to allogeneic blood but increases exposure to any transfusion (allogeneic and/or autologous). There is a direct relationship between the transfusion rate in the control group and the benefit derived from preoperative autologous donation. This suggests that other methods of decreasing blood transfusion, such as surgical technique and transfusion protocols, may be as important as preoperative autologous donation of blood.

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“…Nor has there been any noticeable rebound effect of adrenaline with increased postoperative bleeding or haematomas. At some centres, the use of a local anaesthetic plus adrenaline is routine in breast reductions and has lessened the need for blood transfusions [4,7,8,15,16,18].…”

Section: Introductionmentioning

confidence: 99%

The use of lidocaine with adrenaline reduces blood loss and operating time in free TRAM breast reconstruction

Hellevuo

Salmi

Muuronen

et al. 2002

European Journal of Plastic Surgery

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Free transverse abdominis myocutaneous flap (TRAM) reconstruction is regarded as a major operation involving significant blood loss and a long operating time. Infiltration of a local anaesthetic with adrenaline has been used to reduce blood loss in reduction mammoplasty with good results. In this study, 80-100 ml 0.5% lidocaine with adrenaline (1:100,000) was infiltrated preoperatively in 13 TRAM reconstruction patients (study group). Infiltration was subcutaneous to the lower abdomen, the mastectomy scar and the other breast (if operated on). In the control group (15 patients), there was no such infiltration. The groups were similar to each other in patient and oncological characteristics. Perioperative blood loss was significantly lower in the study group (382 ml) than in the control group (987 ml). The operating time was also significantly shorter in the study group (142 min) than in the control group (188 min). There were no systemic side effects of lidocaine or adrenaline, nor where there were any flap losses, skin necroses or wound infections calling for revision in either group.

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Autologous Blood Use in Reduction Mammaplasty

Cited by 5 publications

References 0 publications

Reduction Mammaplasty and the Use of Dextran Against Thromboembolism

Reduction Mammaplasty and the Use of Dextran Against Thromboembolism

Preoperative Autologous Donation Decreases Allogeneic Transfusion but Increases Exposure to All Red Blood Cell Transfusion<subtitle>Results of a Meta-analysis</subtitle>

The use of lidocaine with adrenaline reduces blood loss and operating time in free TRAM breast reconstruction

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