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Transfusion After Pelvic Reconstructive Surgery

Am J Obstet Gynecol; ePub 2017 Jul 11; Pandya, et al

For women having pelvic reconstructive surgery, the incidence of blood transfusion is uncommon, a recent study found. The retrospective cohort study included 54,387 women (median age 57 years) who underwent pelvic reconstructive surgery between 2010 and 2014. Most participants were Caucasian (91.4%), followed by African Americans (4.6%). Researchers found:

  • Only 686 (1.26%) of the study population received a blood transfusion.
  • The variables associated with transfusion are preoperative hematocrit <30, American Society of Anesthesiologists (ASA) class, bleeding disorders, non-white race, Hispanic ethnicity, and concomitant hysterectomy.
  • Overweight and obese participants were less likely to receive a transfusion.
  • Patients who had a minimally invasive approach were less likely to receive a transfusion when compared to a vaginal approach.
  • Age was not a risk factor for transfusion.

Citation:

Pandya LK, Lynch C, Hundley AF, Nekkanti S, Hudson, KO. The incidence of transfusion and associated risk factors in pelvic reconstructive surgery. [Published online ahead of print July 11, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2017.07.005.