Intraoperative Blood Salvage (IOBS) in Cardiac and Vascular Surgery

Abstract

The extensive application of IOBS has permitted a great reduction in the use of homoglous transfusion which presently represents the largest field of application of autologous systems. In cardiac and vascular surgery, IOBS is particularly useful to the goal of preventing the transmission of viral disorders and other adverse effects related to homologous transfusions. The apparatuses for IOBS may also be used to perform hemodilution and sequestration of a desired amount of platelet rich plasma. The appropriate usage of drugs in perioperative period and the promotion of hemostasis with IOBS are important costituents for the correct transfusional management of the patient. The feasibility and safety of IOBS is known and in expert hands it is an optimal method for the transfusional treatment of surgical patients.

Early Experience and Results of Bone Graft Enriched With Autologous Platelet Gel for Recalcitrant Nonunions of Lower Extremity

“…Several animal studies have shown the benefit and potential of APG for the treatment of skin burns, 9 bone defects around dental implants, 10,11 and oral and maxillofacial reconstruction. 12,13 Some reports demonstrated clinical effect of PRP and APG in cosmetic surgery, 14 cardiac surgery, [15][16][17] and mostly in oral and maxillofacial surgery. 18 -20 Up to now, it has not been reported in the treatment of fractures or nonunions of the long bones.…”

Blood reinfusion in surgery. State of art. Review

“…Кровопотери при онкохирургических вмешательствах зачастую могут достигать по объему 2-3 должных ОЦК, особенно при мультиорганных поражениях или когда в онкологический процесс вовлечены магистральные сосуды [21,22]. С другой стороны, риск попадания жизнеспособных опухолевых клеток в реинфузат и, как следствие, в системный кровоток пациента является абсолютно реальным, а экспериментальные исследования на лабораторных животных подтвердили способность этих опухолевых клеток вызывать рост вторичных метастатических узлов опухоли [22][23][24][25]. Конечно, справедливости ради следует признать, что наличие опухолевых клеток в крови пациента не является феноменом, идентичным метастазированию.…”

Advantages of Intraoperative Blood Salvage with Blood Irradiation in Cancer Surgery

“…At the university hospital of Regensburg IBS with blood irradiation has been used for 9 years in cancer surgery [1]. In Europe, about 30-40 other hospitals meanwhile have adopted this method as well [20][21][22][23]. The main indications are liver surgery, bone tumors and metastases, and radical prostatectomy (table 2).…”