Autologus Blood Transfusion in Spinal Surgery.

概要

論文の詳細を見る
A homologous blood transfusion introduces the risk of disease transmission and immune reactions. An autologous blood transfusion eliminates these risks. Since 1984, we have used autologous transfusions in spinal surgery, this study reviews our experiences with autologous transfusions excluding frozen autologous blood transfusions.This series consisted of twenty patients who had spinal surgery.Autologous transfusions could be achieved by intraoperative blood salvage using a cell saver and predeposited blood. In 90 percent of the patients, operations were performed using only autologous blood trasfusions. In two cases homologous blood was required for the transfusions. There were no complications in the autologous blood transfusions. The use of instrumentation (pedicle screwing) and a long spinal fusion were some of the factors which increased the intraoperative blood loss. This suggests that instrumentation surgery, and a long spinal fusion are indicated for autologous blood transfusions.
西日本整形・災害外科学会の論文