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7. SURGICAL PROCEDURES WITH THE POTENTIAL FOR MAJOR
BLOOD LOSS REQUIRING PREOPERATIVE FBC AND BLOOD GROUP AND ANTIBODY SCREEN.
This list is a guide only if the operation is not here or
you are in doubt please consult surgeon or anaesthetist involved.
7.1 General Surgery
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Mastectomy/axillary clearance |
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Any laparotomy or laparoscopy involving bowel
resection, liver resection or biopsy, gastrectomy, splenectomy,
adrenalectomy etc. |
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Oesophagectomy |
7.2 Orthopaedics
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Total hip replacement, total knee replacement
(autologous blood should be arranged, if possible). |
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Shoulder surgery |
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Any open reduction, internal fixation of major
fracture |
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Laminectomy |
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Scoliosis surgery |
7.3 Obstetrics and Gynaecology
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Abdominal or vaginal hysterectomy |
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Radical hysterectomy or oophorectomy |
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Caesarean section (2 units x matched blood in
the operating theatre if placenta accreta suspected) |
7.4 Vascular
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Carotid endarterectomy |
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Fem-pop bypass or other bypass procedures e.g.
Axillo-bifemoral bypass. |
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Aortic surgery (2 units cross matched blood in
operating theatre) |
7.5 Urology
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TURP and VLAP |
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Radical prostatectomy, nephrectomy or
cystectomy |
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Bladder augmentation |
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Percutaneous nephrolithotomy or pyelolithotomy |
7.6 Neurosurgery
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Any craniotomy |
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Laminectomy |
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Trans-sphenoidal surgery |
7.7 Head and Neck
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All major head and neck procedures |
7.8 E.N.T.
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Tonsillectomy and adenoidectomy |
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Uvula-palatoplasty |
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