Cargando…

Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes

This review attempts to outline the alternative measures and interventions used in bloodless surgery in the field of gynecologic oncology and demonstrate their effectiveness. Nowadays, as increasingly more patients are expressing their fears concerning the potential risks accompanying allogenic tran...

Descripción completa

Detalles Bibliográficos
Autores principales: Simou, Maria, Thomakos, Nikolaos, Zagouri, Flora, Vlysmas, Antonios, Akrivos, Nikolaos, Zacharakis, Dimitrios, Papadimitriou, Christos A, Dimopoulos, Meletios-Athanassios, Rodolakis, Alexandros, Antsaklis, Aris
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225312/
https://www.ncbi.nlm.nih.gov/pubmed/22051161
http://dx.doi.org/10.1186/1477-7819-9-142
_version_ 1782217493181366272
author Simou, Maria
Thomakos, Nikolaos
Zagouri, Flora
Vlysmas, Antonios
Akrivos, Nikolaos
Zacharakis, Dimitrios
Papadimitriou, Christos A
Dimopoulos, Meletios-Athanassios
Rodolakis, Alexandros
Antsaklis, Aris
author_facet Simou, Maria
Thomakos, Nikolaos
Zagouri, Flora
Vlysmas, Antonios
Akrivos, Nikolaos
Zacharakis, Dimitrios
Papadimitriou, Christos A
Dimopoulos, Meletios-Athanassios
Rodolakis, Alexandros
Antsaklis, Aris
author_sort Simou, Maria
collection PubMed
description This review attempts to outline the alternative measures and interventions used in bloodless surgery in the field of gynecologic oncology and demonstrate their effectiveness. Nowadays, as increasingly more patients are expressing their fears concerning the potential risks accompanying allogenic transfusion of blood products, putting the theory of bloodless surgery into practice seems to gaining greater acceptance. An increasing number of institutions appear to be successfully adopting approaches that minimize blood usage for all patients treated for gynecologic malignancies. Preoperative, intraoperative and postoperative measures are required, such as optimization of red blood cell mass, adequate preoperative plan and invasive hemostatic procedures, assisting anesthetic techniques, individualization of anemia tolerance, autologous blood donation, normovolemic hemodilution, intraoperative cell salvage and pharmacologic agents for controlling blood loss. An individualised management plan of experienced personnel adopting a multidisciplinary team approach should be available to establish non-blood management strategies, and not only on demand of the patient, in the field of gynecologic oncology with the use of drugs, devices and surgical-medical techniques.
format Online
Article
Text
id pubmed-3225312
institution National Center for Biotechnology Information
language English
publishDate 2011
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-32253122011-11-29 Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes Simou, Maria Thomakos, Nikolaos Zagouri, Flora Vlysmas, Antonios Akrivos, Nikolaos Zacharakis, Dimitrios Papadimitriou, Christos A Dimopoulos, Meletios-Athanassios Rodolakis, Alexandros Antsaklis, Aris World J Surg Oncol Review This review attempts to outline the alternative measures and interventions used in bloodless surgery in the field of gynecologic oncology and demonstrate their effectiveness. Nowadays, as increasingly more patients are expressing their fears concerning the potential risks accompanying allogenic transfusion of blood products, putting the theory of bloodless surgery into practice seems to gaining greater acceptance. An increasing number of institutions appear to be successfully adopting approaches that minimize blood usage for all patients treated for gynecologic malignancies. Preoperative, intraoperative and postoperative measures are required, such as optimization of red blood cell mass, adequate preoperative plan and invasive hemostatic procedures, assisting anesthetic techniques, individualization of anemia tolerance, autologous blood donation, normovolemic hemodilution, intraoperative cell salvage and pharmacologic agents for controlling blood loss. An individualised management plan of experienced personnel adopting a multidisciplinary team approach should be available to establish non-blood management strategies, and not only on demand of the patient, in the field of gynecologic oncology with the use of drugs, devices and surgical-medical techniques. BioMed Central 2011-11-03 /pmc/articles/PMC3225312/ /pubmed/22051161 http://dx.doi.org/10.1186/1477-7819-9-142 Text en Copyright ©2011 Simou et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Simou, Maria
Thomakos, Nikolaos
Zagouri, Flora
Vlysmas, Antonios
Akrivos, Nikolaos
Zacharakis, Dimitrios
Papadimitriou, Christos A
Dimopoulos, Meletios-Athanassios
Rodolakis, Alexandros
Antsaklis, Aris
Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
title Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
title_full Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
title_fullStr Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
title_full_unstemmed Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
title_short Non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
title_sort non-blood medical care in gynecologic oncology: a review and update of blood conservation management schemes
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225312/
https://www.ncbi.nlm.nih.gov/pubmed/22051161
http://dx.doi.org/10.1186/1477-7819-9-142
work_keys_str_mv AT simoumaria nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT thomakosnikolaos nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT zagouriflora nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT vlysmasantonios nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT akrivosnikolaos nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT zacharakisdimitrios nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT papadimitriouchristosa nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT dimopoulosmeletiosathanassios nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT rodolakisalexandros nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes
AT antsaklisaris nonbloodmedicalcareingynecologiconcologyareviewandupdateofbloodconservationmanagementschemes