Blood transfusion after vaginal hysterectomy for pelvic organ prolapse

Abstract

Red cell transfusion remains lower than international figures. This may form part of patient counselling when discussing the route of hysterectomy in the future.

Clinical Benefit of Routine Postoperative Hemoglobin Testing After Vaginal Hysterectomy and Reconstruction for Symptomatic Pelvic Organ Prolapse

“…Furthermore, 35% underwent concurrent midurethral sling procedures. 2 The median decrease in hemoglobin reported here was 2.2 g/dL, consistent with other reports among this surgical population, 11 and likely related to the increase in dissection along vaginal mucosal surfaces.…”

“…The postoperative transfusion rate in our study was 0.9%, which is consistent with other gynecologic and urogynecologic data suggesting a 1.2%-4% transfusion rate after hysterectomy and POP surgery. 1,3,10,11 After logistic regression, only lower preoperative hemoglobin levels were associated with postoperative anemia. The vast majority of our sample (87%) ultimately had no clinical or laboratory signs of anemia.…”

“…In a similar study, the rate of blood transfusion after vaginal hysterectomy and prolapse repair was 1.9%. 11 Other research regarding blood transfusion and prolapse repair does not specify route of hysterectomy but cites transfusion rates of up to 4%. 1,3,10 Previous authors have evaluated the utility of postoperative hemoglobin testing after minimally invasive sacrocolpopexy with or without hysterectomy.…”

“…After obtaining approval from the TriHealth Institutional Review Board (November 15, 2019) and registering with the National Clinical Trials Registry (NCT04170764), all charts for patients undergoing TVH in our department from October 1, 2014, through October 1, 2019, were reviewed. A 5-year study interval was chosen based on the number of vaginal hysterectomies performed through our department annually, compared with other similarly designed studies [1][2][3]6,11 ; no power analysis was performed. Patients were included if they were older than 18 years at the time of surgery and if their hysterectomy was accompanied by at least 1 native tissue prolapse repair, uterosacral ligament suspension, anterior repair, or posterior repair.…”

Outcomes of vaginal hysterectomy combined with anterior and posterior colporrhaphy for pelvic organ prolapse: a single center retrospective study

“…The OT in our study was the shortest compared to that of previous studies (86.5±20.96 minutes [n=610] vs. 110.7±42.8 [n=81] vs. 156.7±43.9 minutes [n=87]) [ 15 , 23 ]. The blood transfusion rate and the difference in Hb levels in our study were comparable with those in a previous study (transfusion, 0.98% [6/610]; difference in Hb, 1.7±1.0 g/dL vs. transfusion, 1.9% [2/108]; difference in Hb, 2.0 g/dL) [ 24 ]. Abdominal hysterectomy has a blood transfusion rate of 2.18% [ 25 , 26 ], while VH has a very low EBL and blood transfusion rate; this demonstrates its safety in the surgical treatment of POP.…”