[High-risk obstetric surgery: Can we do without Cell-saver in France in 2024?].

Gynecol Obstet Fertil Senol

Maternité Port-Royal, hôpital Cochin, université Paris-Cité, AP-HP, Paris, France. Electronic address:

Published: December 2024

AI Article Synopsis

  • Certain obstetric situations, like issues with placental invasion, can lead to significant bleeding, often requiring extensive blood transfusions.
  • To address the complications from massive transfusions and reduce the need for blood products, blood salvage techniques, particularly the Cell-saver, are being implemented in obstetric settings.
  • This article aims to update readers on the Cell-saver's usage, examining its indications, technical aspects, and weighing its benefits against potential risks during high hemorrhage risk procedures.

Article Abstract

Certain obstetric situations, such as abnormalities in placental invasion, present a major hemorrhagic risk often requiring massive transfusion. To reduce complications associated with massive transfusions and minimize the use of the labile blood product stock, perioperative blood salvage techniques, such as the Cell-saver, have been developed, including in obstetrics. The aim of this article is to provide an update on the use of the Cell-saver in obstetrics, particularly during high hemorrhagic risk obstetric surgeries (such as surgeries for placenta accreta). Firstly, we will review the indications for using the Cell-saver in obstetrics and the technical modalities described in the literature and at our expert center. Secondly, in light of the literature data, we will list the benefits associated with the use of the Cell-saver in obstetrics as well as its risks, complications, and contraindications.

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http://dx.doi.org/10.1016/j.gofs.2024.12.001DOI Listing

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  • To address the complications from massive transfusions and reduce the need for blood products, blood salvage techniques, particularly the Cell-saver, are being implemented in obstetric settings.
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