A.A. EVSTRATOV¹, N.A. BARKOVSKAYA², D.R. SABIROVA¹

¹Republic Clinical Hospital, 138 Orenburgskiy trakt, Kazan, Russian Federation, 420064

²Dzerzhinsk Perinatal Center, 89 Tsiolkovskiy pr., Dzerzhinsk, Russian Federation, 606033

Evstratov A.A. — Head of Intensive Care Unit No. 2, e-mail: virineia2005@mail.ru

Barkovskaya N.A. – Head of Intensive Care Unit, e-mail: bar-natalya@mail.ru

Sabirova D.R. – obstetrician-gynecologist, e-mail: dianochka434@gmail.com, ORCID ID: 0000-0002-7210-4525

Severe bleeding is a topical problem in gynecology and obstetrics worldwide. Intraoperative blood salvage procedure is considered to be one of the best ways to reimburse the volume of circulating blood. The article presents two clinical cases of vast blood loss in gynecology and obstetrics and the applied combined treatment – highly-qualified surgical manipulations and modern methods of intraoperative cell salvage. The two cases include corporeal cesarean section with simple uterectomy without appendages under placenta rotation and conservative myomectomy at early stage of pregnancy with further cesarean section in the lower segment in full-term pregnancy. The presented clinical cases prove the good recovery of the patient, the recovery of red blood level after intervention, safety, no embolism with amniotic fluid and no multiple organ failure.

Key words: allogenic blood transfusion, cesarean section, intraoperative cell salvage.

(For citation: Evstratov A.A., Barkovskaya N.A., Sabirova D.R. Intraoperative reinfusion of washed erythrocytes in gynecology and obstetrics. Practical Medicine. 2018)

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