A cost-effectiveness evaluation of preoperative type-and-screen testing for vaginal hysterectomy

American Journal of Obstetrics and Gynecology
S B RansomJ M Malone

Abstract

Our purpose was to evaluate the usefulness and cost-effectiveness of routine preoperative type-and-screen testing before vaginal hysterectomy. A retrospective review of all vaginal hysterectomies performed at Hutzel Hospital between 1988 and 1994 with an emphasis on those that required blood transfusion was done. All vaginal hysterectomies completed at Hutzel Hospital were included in this 6-year time period for all noncancerous indications, including fibroid uterus, endometriosis, menorrhagia, uterine prolapse, pelvic pain, cervical dysplasia, and adenomyosis. Among 1063 patients who underwent vaginal hysterectomy, 26 needed a blood transfusion at the time of hospitalization. Medical records of the patients who needed blood transfusions were reviewed to determine the urgency and indication. Ten of the transfusions were given preoperatively because of anemia, 7 were given intraoperatively, and 9 were given postoperatively. The seven intraoperative transfusions were given because of the physician's perception of excessive blood loss; however, none of the patients received an emergency transfusion with extreme urgency. That is, the need for the intraoperative transfusion was not immediate. All patients who received a transfusion ...Continue Reading

References

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Citations

Feb 22, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Silvio Fabian GhirardoMitchell I Chorost
Sep 22, 2016·Journal of Obstetrics and Gynaecology of India·Sapna B Jain, Kshma D Chandrakar
Mar 5, 2011·Acta Obstetricia Et Gynecologica Scandinavica·Lisbeth M ThoestesenRune Larsen
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May 18, 2004·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·E HorowitzB Kaplan
Oct 30, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·V Pinto GarcíaS V Fernández
Apr 12, 2014·American Journal of Obstetrics and Gynecology·Dina J ChamsySuketu M Mansuria
Jul 16, 2017·American Journal of Obstetrics and Gynecology·Lopa K PandyaCatherine O Hudson
Sep 30, 2004·Acta Obstetricia Et Gynecologica Scandinavica·Eran HorowitzDavid Rabinerson
Aug 28, 1998·Current Opinion in Obstetrics & Gynecology·R C Reiter
Apr 15, 2021·Annals of the Royal College of Surgeons of England·S AlyacoubiI Raza

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