10: Post-operative infection in the setting of massive intra-operative blood loss




Objectives


To determine the local rates of massive intra-operative blood loss and subsequent febrile morbidity for open gynecologic surgeries.




Methods


A retrospective review of 513 consecutive cases of open gynecologic surgery was performed to identify cases of massive intra-operative blood loss defined as: ≥1L estimated intra-operative blood loss, OR a drop in hemoglobin from pre-op to post-op of ≥40 g/L OR a peri-operative blood transfusion. For cases meeting these criteria, further data was abstracted to assess the rate of post-operative infectious morbidity, defined as: positive wound swab, positive urine culture, or meeting Systemic Inflammatory Response Syndrome (SIRS) criteria (1991).




Methods


A retrospective review of 513 consecutive cases of open gynecologic surgery was performed to identify cases of massive intra-operative blood loss defined as: ≥1L estimated intra-operative blood loss, OR a drop in hemoglobin from pre-op to post-op of ≥40 g/L OR a peri-operative blood transfusion. For cases meeting these criteria, further data was abstracted to assess the rate of post-operative infectious morbidity, defined as: positive wound swab, positive urine culture, or meeting Systemic Inflammatory Response Syndrome (SIRS) criteria (1991).

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May 5, 2017 | Posted by in GYNECOLOGY | Comments Off on 10: Post-operative infection in the setting of massive intra-operative blood loss

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