Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery

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dc.contributor.authorWasl, Hisham
dc.contributor.authorMcGuire, Jessica
dc.contributor.authorLubbe, Darlene
dc.date.accessioned2021-10-08T07:08:14Z
dc.date.available2021-10-08T07:08:14Z
dc.date.issued2016
dc.description.abstractBackgroundSurgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures. Therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature revealed very few case reports. This study investigated the value and safety of salvage-type autologous blood transfusion during the endoscopic resection of juvenile nasopharyngeal angiofibromas (JNA).MethodsJNA is a rare vascular nasal tumour and the study extended over a 3-year period to obtain adequate patient numbers. All patients undergoing endoscopic resection during this period were included in the population sample. Ten patients with JNA were identified and underwent embolization prior to the endoscopic resection. In all cases the intraoperative blood salvage apparatus was used. Close post-operative monitoring was performed.ResultsHomologous blood transfusion could be avoided in all cases. Postoperative monitoring revealed transient bacteraemia in two cases where the leukocyte filter was not used, but no evidence of septicaemia.ConclusionsPerioperative cell saver and autologous blood transfusion in endonasal JNA surgery is safe. Homologous blood transfusion can be avoided by using this technique. The use of cell salvage allows for single stage surgery without the need to abandon surgery due to excessive blood loss and its future use is promising.
dc.identifier.apacitationWasl, H., McGuire, J., & Lubbe, D. (2016). Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery. <i>Journal of Otolaryngology - Head & Neck Surgery</i>, 45(1), 174 - 177. http://hdl.handle.net/11427/34532en_ZA
dc.identifier.chicagocitationWasl, Hisham, Jessica McGuire, and Darlene Lubbe "Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery." <i>Journal of Otolaryngology - Head & Neck Surgery</i> 45, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34532en_ZA
dc.identifier.citationWasl, H., McGuire, J. & Lubbe, D. 2016. Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery. <i>Journal of Otolaryngology - Head & Neck Surgery.</i> 45(1):174 - 177. http://hdl.handle.net/11427/34532en_ZA
dc.identifier.issn1916-0208
dc.identifier.issn1916-0216
dc.identifier.ris TY - Journal Article AU - Wasl, Hisham AU - McGuire, Jessica AU - Lubbe, Darlene AB - BackgroundSurgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures. Therefore, the standard of care for certain skull base tumours has become endoscopic transnasal resection. Other surgical disciplines often use cell salvage techniques, but review of the otolaryngology literature revealed very few case reports. This study investigated the value and safety of salvage-type autologous blood transfusion during the endoscopic resection of juvenile nasopharyngeal angiofibromas (JNA).MethodsJNA is a rare vascular nasal tumour and the study extended over a 3-year period to obtain adequate patient numbers. All patients undergoing endoscopic resection during this period were included in the population sample. Ten patients with JNA were identified and underwent embolization prior to the endoscopic resection. In all cases the intraoperative blood salvage apparatus was used. Close post-operative monitoring was performed.ResultsHomologous blood transfusion could be avoided in all cases. Postoperative monitoring revealed transient bacteraemia in two cases where the leukocyte filter was not used, but no evidence of septicaemia.ConclusionsPerioperative cell saver and autologous blood transfusion in endonasal JNA surgery is safe. Homologous blood transfusion can be avoided by using this technique. The use of cell salvage allows for single stage surgery without the need to abandon surgery due to excessive blood loss and its future use is promising. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - Journal of Otolaryngology - Head & Neck Surgery LK - https://open.uct.ac.za PY - 2016 SM - 1916-0208 SM - 1916-0216 T1 - Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery TI - Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery UR - http://hdl.handle.net/11427/34532 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34532
dc.identifier.vancouvercitationWasl H, McGuire J, Lubbe D. Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery. Journal of Otolaryngology - Head & Neck Surgery. 2016;45(1):174 - 177. http://hdl.handle.net/11427/34532.en_ZA
dc.language.isoeng
dc.publisher.departmentDivision of Otorhinolaryngology
dc.publisher.facultyFaculty of Health Sciences
dc.sourceJournal of Otolaryngology - Head & Neck Surgery
dc.source.journalissue1
dc.source.journalvolume45
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s40463-016-0135-5
dc.subject.otherAdolescent
dc.subject.otherAngiofibroma
dc.subject.otherBlood Loss, Surgical
dc.subject.otherBlood Transfusion, Autologous
dc.subject.otherChild
dc.subject.otherContraindications
dc.subject.otherFemale
dc.subject.otherFollow-Up Studies
dc.subject.otherHumans
dc.subject.otherJehovah's Witnesses
dc.subject.otherMale
dc.subject.otherMouth
dc.subject.otherNasopharyngeal Neoplasms
dc.subject.otherNatural Orifice Endoscopic Surgery
dc.subject.otherProspective Studies
dc.subject.otherTime Factors
dc.subject.otherYoung Adult
dc.titleAvoiding allogenic blood transfusions in endoscopic angiofibroma surgery
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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