Impact of perioperative red blood cell transfusion on postoperative recovery and long-term outcome in patients undergoing surgery for ovarian cancer: A propensity score-matched analysis
It is well known that blood transfusion during or immediately after surgery has short and long-term consequences. The usual indication for blood transfusion is low blood iron with a haemoglobin measurement of less than 70. This may be caused before surgery by bleeding, poor nutrition, and general ill health. Excess blood loss may occur when the surgery is more complicated and extensive or be related to difficulty in blood clotting.
This retrospective study looked at a thousand women operated on for ovarian cancer, they were divided into two groups; those who received blood transfusion during or shortly after surgery and those who did not.
Women who needed transfusion had more problems immediately after surgery with longer hospital stays. Also, the same group had three year survival reduced by about one-fifth. Hopefully improved surgical technique and proper preparation for surgery can reduce the need for blood transfusion and improve outcomes.
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