Yoshio Maki
1993 The Japanese Journal of Urology  
With the purpose to avoid the risk of transfusion mediated infection and complication, predeposited autologous blood transfusion was performed. From April 1990 to March 1991, transurethral resection of the prostate (TUR-P) were performed in 27 patients (mean age: 72.5 years) with benign prostatic hypertrophy (BPH). Autologous blood (200-400 ml, mean 244ml) was predeposited 3 weeks prior to TUR-P in 18 patients (mean age: 73.9 years) and transfused during or just after the operation in 16 (five
more » ... atients required some homologous blood in addition to their own banked blood). Another three patients were transfused with homologouslilood only. The mean values for hemoglobin concentration were 13.7 0.4g/dl before blood deposition and 12.8 0. 5g/dl on the day of operation (recovery rate: 92.5 2.7%). Although no complication was found in autologous blood transfusion group (11 patients), one case of systemic exanthema and one case of type C hepatitis were observed in homologous blood transfusion group (8 patinets). In TUR-P, positive correlations were observed among resected prostate weight (Pro-wt. ), blood loss (B. ) and operation time (Op-T.). Correlation efficient between Pro-wt. and B. was 0.80, that of B. and Op-T. was 0.77 and that of Pro-wt. and Op-T. was 0.85. From these results and ultransomographic measurement of the prostate weight, the amount of blood loss can be calculated preoperatively, there by the amount of blood needed for transfusion will be estimated. Since surgical operation for BPH is usually carried out on an elective basis and the amount of blood necessary for transfusion is estimable, TUR-P is one of the best indication of autologous blood transfusion.
doi:10.5980/jpnjurol1989.84.1219 pmid:8355437 fatcat:mueyk2u3ofbedn3qdcstrpge6e