Volume 22, Issue 1 (Spring 2025)
Sci J Iran Blood Transfus Organ 2025, 22(1): 44-53 |
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Ranjbar A, Farazmehr K, Shojaei P. Investigating the Need for Blood Transfusion in Abdominoplasty and Liposuction Surgeries Under General Anesthesia in Farhikhtegan Hospital in 1401 and 1402. Sci J Iran Blood Transfus Organ 2025; 22 (1) :44-53
URL: http://bloodjournal.ir/article-1-1553-en.html
URL: http://bloodjournal.ir/article-1-1553-en.html
Abstract: (353 Views)
A B S T R A C T
Background and Objectives
The need for blood transfusion in abdominoplasty and liposuction under general anesthesia is crucial factor in surgical planning and ensuring patient safety.
Materials and Methods
This cross-sectional study was conducted at Farhikhtegan Hospital in Tehran during 2022-2023. The study population included medical records of patients who were candidates for abdominoplasty and/or liposuction surgery with ASA class I and II, selected by census sampling. Collected data included age, sex, blood type, underlying diseases, volume of fluid administered, duration of anesthesia, and need for blood transfusion. Data were analyzed using SPSS version 26 applying independent t-tests, chi-squared tests, and one-way ANOVA, with a significance level set at < 0.05.
Results
A total of 107 patients with a mean age of 42.3 years and a mean preoperative hemoglobin level of 11.8 g/dL were studied. The majority were female (98.13%) and 72.9% were classified as risk group 1. The most common underlying diseases were hypertension (11.2%) and diabetes (9.3%). Blood type O+ was the most prevalent (28%), and 80.3% of patients underwent a combined liposuction and abdominoplasty. 65 (60.2%) of patients did not require a blood transfusion, while 42 (39.8%, 95% CI: 30.1%-48.5) received one unit of blood. Analyses showed a significant relationship between the type of surgery and the need for blood transfusion depending on the preoperative hemoglobin level. Notably, preoperative hemoglobin level had a significant effect on the blood transfusion need (95% CI: 0%-0.70.9%; p= 0.04). Patients with hemoglobin below 10 g/dL were more likely to require transfusion (75.0%). Among patients with hemoglobin levels between 10–12 g/dL, 41.2% required transfusion, while 29.4% of those with hemoglobin levels between 12–14 g/dL needed a transfusion. This pattern was observed in all three types of surgery. However, there was no significant association between blood transfusion and duration of anesthesia, risk level, underlying diseases, and volume of fluids administrated.
Conclusions
Monitoring preoperative hemoglobin levels and managing fluids appropriately during surgery can significantly reduce the need for blood transfusions and improve clinical outcomes.
Background and Objectives
The need for blood transfusion in abdominoplasty and liposuction under general anesthesia is crucial factor in surgical planning and ensuring patient safety.
Materials and Methods
This cross-sectional study was conducted at Farhikhtegan Hospital in Tehran during 2022-2023. The study population included medical records of patients who were candidates for abdominoplasty and/or liposuction surgery with ASA class I and II, selected by census sampling. Collected data included age, sex, blood type, underlying diseases, volume of fluid administered, duration of anesthesia, and need for blood transfusion. Data were analyzed using SPSS version 26 applying independent t-tests, chi-squared tests, and one-way ANOVA, with a significance level set at < 0.05.
Results
A total of 107 patients with a mean age of 42.3 years and a mean preoperative hemoglobin level of 11.8 g/dL were studied. The majority were female (98.13%) and 72.9% were classified as risk group 1. The most common underlying diseases were hypertension (11.2%) and diabetes (9.3%). Blood type O+ was the most prevalent (28%), and 80.3% of patients underwent a combined liposuction and abdominoplasty. 65 (60.2%) of patients did not require a blood transfusion, while 42 (39.8%, 95% CI: 30.1%-48.5) received one unit of blood. Analyses showed a significant relationship between the type of surgery and the need for blood transfusion depending on the preoperative hemoglobin level. Notably, preoperative hemoglobin level had a significant effect on the blood transfusion need (95% CI: 0%-0.70.9%; p= 0.04). Patients with hemoglobin below 10 g/dL were more likely to require transfusion (75.0%). Among patients with hemoglobin levels between 10–12 g/dL, 41.2% required transfusion, while 29.4% of those with hemoglobin levels between 12–14 g/dL needed a transfusion. This pattern was observed in all three types of surgery. However, there was no significant association between blood transfusion and duration of anesthesia, risk level, underlying diseases, and volume of fluids administrated.
Conclusions
Monitoring preoperative hemoglobin levels and managing fluids appropriately during surgery can significantly reduce the need for blood transfusions and improve clinical outcomes.
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